JAY THOMAS GOURLIE (NPI# 1407877277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407877277 |
| Entity Type | Individual |
| Full Name | JAY THOMAS GOURLIE |
| Practice Address |
2221 Ford Pkwy Saint Paul MN 55116-1800 |
| Mailing Address |
Po Box 1239 Brainerd MN 56401-9600 |
| Practice Telephone | 6516452227 |
| Mailing Telephone | 6516452227 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UBH MEDICA | 6107401 | 01 |
| MN | BCBS | 69260GO | 01 |
| Street Address |
2221 FORD PKWY |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55116-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134614 | David J Eilers | Ophthalmology | 2221 Ford Pkwy, #210, Saint Paul, MN 55116-1800 | 2006-02-22 |
| 1760618011 | Northland Foot and Ankle Specialists, P.C. | Durable Medical Equipment & Medical Supplies | 2221 Ford Pkwy, Suite 350, Saint Paul, MN 55116-3837 | 2009-06-01 |
| 1205954278 | Foot Clinics Ltd, P.a. | Podiatrist | 2221 Ford Pkwy, Suite 350, Saint Paul, MN 55116-1800 | 2007-03-27 |
| 1619011533 | Okane and Monssen Family Dentistry | Dentist | 2221 Ford Pkwy, Ste 201, Saint Paul, MN 55116-1800 | 2007-02-16 |
| 1427004969 | Twin Cities Eye Specialists, LLC | Ophthalmology | 2221 Ford Pkwy, #210, Saint Paul, MN 55116-1800 | 2006-05-26 |
| 1427002096 | Shelley M Wayne Healy | Podiatrist | 2221 Ford Pkwy, Suite 350, Saint Paul, MN 55116-1800 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568017374 | The Bridge Autism Clinic LLC | Clinic/Center | 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 | 2019-08-08 |
| 1205306875 | Center for Validation and Change, L.L.C. | Social Worker | 790 Cleveland Avenue S. Ste; 211 790, St. Paul, MN 55116 | 2018-11-27 |
| 1114391307 | Therese Ann Wengler | Rehabilitation Hospital | 1206 Niles Avenue, Saint Paul, MN 55116 | 2015-11-25 |
| 1306220579 | Lauren Ann Wier | Social Worker | 577 Wawick St, Saint Paul, MN 55116 | 2015-07-16 |
| 1982097325 | Norah Hoverson | Dentist | 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 | 2015-03-10 |
| 1316336803 | Ryan W. Nolte | Chiropractor | 1150 Montreal Ave Ste 101, Saint Paul, MN 55116 | 2015-01-21 |
| 1316348642 | Highland Gw, LLC | Assisted Living Facility | 1925 Graham Avenue, St. Paul, MN 55116 | 2014-09-05 |
| 1972941185 | Creations Midwifery, LLC | Advanced Practice Midwife | 1235 Saint Paul Avenue, Saint Paul, MN 55116 | 2013-06-10 |
| 1992075428 | Nels Health Care, LLC | Licensed Practical Nurse | 2285 Stewart Ave, Suite 1107, St Paul, MN 55116 | 2011-12-30 |
| 1962717728 | Lindsey Hammond Teigland | Psychologist | 690 Cleveland Avenue South, St. Paul, MN 55116 | 2010-08-17 |
| Find all providers in zip 55116 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161220 | Jeffrey Paul Olsen | Psychologist | 2275 Youngman Ave Ste 204, Saint Paul, MN 55116-3053 | 2019-08-30 |
| 1205496890 | Xenia Ewing | Psychologist | 1611 County Road B W Ste 214, Saint Paul, MN 55113-5021 | 2019-06-17 |
| 1316432867 | Lewis M Rambo | Psychologist | 624 Selby Ave Ste 2, Saint Paul, MN 55104-6614 | 2018-06-27 |
| 1215450622 | Margaret Kellogg, Inc | Psychologist | 241 Cleveland Ave S Ste 1b, Saint Paul, MN 55105-1255 | 2017-07-18 |
| 1104361971 | Ruth Markowitz Ma Lp | Psychologist | 1599 Selby Ave Ste 107, Saint Paul, MN 55104-6263 | 2017-01-03 |
| 1144624636 | Martin J. Schoen, Psy.d., L.L.C. | Psychologist | 2096 Fairways Ln, Saint Paul, MN 55113-3813 | 2014-10-13 |
| 1770863607 | Stacy Coleman Symons | Psychologist | 7582 Currell Blvd Ste 108, Saint Paul, MN 55125-8210 | 2011-08-23 |
| 1427364355 | Vanessa Rachelle Rempel | Psychologist | 241 Cleveland Ave S Ste B6, Saint Paul, MN 55105-1255 | 2010-08-30 |
| 1295060770 | Joseph Vincent Bailey | Psychologist | 1798 Hewitt Ave, Saint Paul, MN 55104-1129 | 2009-10-16 |
| 1205061785 | Rebecca Sarah White | Psychologist | 180 5th St E, Saint Paul, MN 55101-2672 | 2009-05-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55116 |
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| 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.