JEREMY T ALDEN


Address: 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102
Phone: 6512206720

JEREMY T ALDEN (NPI# 1376656991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376656991
Entity Type Individual
Full Name JEREMY T ALDEN
Credential PHD LP
Practice Address 347 North Smith Avenue
Childrens Specialty Clinic Psychological Services
St Paul
MN 55102
Mailing Address 2910 Centre Pointe Drive
35 121a Childrens Health Care
Roseville
MN 55113
Practice Telephone 6512206720
Practice Fax Number 6512206707
Mailing Telephone 6518552327
Mailing Fax Number 6518552310
Enumeration Date 2006-08-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist LP4240 MN Behavioral Health & Social Service Providers

Office Location

Street Address 347 NORTH SMITH AVENUE
CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES
City ST PAUL
State MN
Zip Code 55102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225008527 Julie Chu Pediatrics 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 2006-01-26
1033245980 Rebekah A Forrest Nurse Practitioner 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 2007-02-26
1740369602 Diane J Schmidt Nurse Practitioner 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 2006-11-03
1386723245 Cathleen M Rock Nurse Practitioner 347 North Smith Avenue, Childrens Specialty Clinic Neurology Stpl, St Paul, MN 55102 2006-11-03
1285713396 Mylynda S Livingston Nurse Practitioner 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 2006-11-02
1437238540 Jodie A Raymaker Psychologist 347 North Smith Avenue, Midwest Childrens Resource Center 401, St Paul, MN 55102 2006-11-02
1568566826 John F Helminski Psychologist 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 2006-09-08
1215039268 Vicki L Nauschultz Psychologist 347 North Smith Avenue, 401, St Paul, MN 55102 2006-09-01
1679686299 Alyssa K Vang Psychologist 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 2006-08-17
1700999331 Denise A Marvinney Psychologist 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 2006-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184737710 Julie Ann Robinson Clinical Neuropsychologist 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 2006-08-17
1063471506 Bonnie L Carlson-green Clinical Neuropsychologist 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 2006-03-22
1427035021 Cynthia Richardson Spicuzza Clinical Neuropsychologist 2550 University Ave West, Ste 229n, St Paul, MN 55114 2005-12-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992302228 Jsr Neuropsychological Services Pllc Clinical Neuropsychologist 3209 W 76th St Ste 207, Edina, MN 55435-5246 2020-10-09
1154942258 Naomi Nystrom Clinical Neuropsychologist Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 2020-04-29
1013557057 Erik De Water Clinical Neuropsychologist 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 2020-01-07
1609333038 Minnesota Neuropsychology, LLC Clinical Neuropsychologist 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 2019-02-21
1285118687 Chimei M Lee Clinical Neuropsychologist 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 2018-09-20
1861990012 Susan Mcpherson Phd Abpp Lp LLC Clinical Neuropsychologist 6550 York Ave S Ste 419, Edina, MN 55435-2335 2018-01-23
1609399153 Sheryl Jayne Pleiss Clinical Neuropsychologist 6640 Shady Oak Rd Ste 375, Eden Prairie, MN 55344-7834 2017-07-17
1598204869 Adam Piccolino Clinical Neuropsychologist 11800 Singletree Ln Ste 203, Eden Prairie, MN 55344-5397 2017-02-19
1770832875 Allen Stock Clinical Neuropsychologist 3320 Walnut Grove Ln N, Plymouth, MN 55447-1026 2012-09-05
1962750026 Paul Marshall LLC Clinical Neuropsychologist 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 2012-08-21
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City ST PAUL
Zip Code 55102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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