DR. SEAN MICHAEL REARDON


Address: 11812 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-2012
Phone: 9529228822

DR. SEAN MICHAEL REARDON (NPI# 1508039314) 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) 1508039314
Entity Type Individual
Full Name DR. SEAN MICHAEL REARDON
Credential PHD
Practice Address 11812 Wayzata Blvd
Suite 100
Minnetonka
MN 55305-2012
Mailing Address 8417 Xylon Cir S
Bloomington
MN 55438-1329
Practice Telephone 9529228822
Practice Fax Number 9529227222
Enumeration Date 2008-04-12
Last Update Date 2008-04-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP1612 MN Behavioral Health & Social Service Providers

Other Providers SEAN REARDON

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Office Location

Street Address 11812 WAYZATA BLVD
SUITE 100
City MINNETONKA
State MN
Zip Code 55305-2012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548370190 Johanna Lee Lamm Psychologist 11812 Wayzata Blvd, Suite 212, Minnetonka, MN 55305-2012 2006-08-30
1629449939 Traverse Counseling & Consulting Counselor 11812 Wayzata Blvd, Minnetonka, MN 55305 2015-10-13
1992058143 Gail Yost Marriage & Family Therapist 11812 Wayzata Blvd, Suite 120, Minnetonka, MN 55305-2012 2012-10-24
1538466784 Kenneth L Stewart, Phd, Ltd Psychologist 11812 Wayzata Blvd, Suite 120, Minnetonka, MN 55305-2012 2011-02-24
1912238684 Phoenix Process Consultants Clinic/Center 11812 Wayzata Blvd, Minnetonka, MN 55305-2012 2010-01-20
1134450083 Michael Robert Borowiak Social Worker 11812 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-2012 2010-01-15
1619148814 Danette Lynn Jones Social Worker 11812 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-2012 2008-03-14
1518162254 Gwen Marie Millam Social Worker 11812 Wayzata Blvd, Suite 212, Minnetonka, MN 55305-2012 2007-06-20
1205934676 Barbara Sue Goodman-fischtrom Social Worker 11812 Wayzata Blvd, Suite # 120, Minnetonka, MN 55305-2012 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255948584 Sober Living Connection Substance Abuse Rehabilitation Facility 11115 Minnetonka Blvd, Hopkins, MN 55305 2020-09-30
1649739103 Gabriel Douglas Orem Occupational Therapist 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 2019-03-14
1750863106 Andrea Haglin Counselor 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 2018-09-02
1770934499 Acme Transportation Private Vehicle 11356 Cedar Pointe Dr, Minnetonka, MN 55305 2016-06-23
1841641743 Laine Cecily Hartwell Epp Counselor 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 2016-06-22
1407217367 Larissa Vados Acupuncturist 11654 Wayzata Blvd, Minnetonka, MN 55305 2016-03-18
1548658982 Irene Grudsky Contractor 10550 Wayzata Blvd, Minnetonka, MN 55305 2015-01-08
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1235472275 Katherine Thistle Rivard Dietitian, Registered 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 2013-03-28
1558633784 Vickie Lynn Schaefer Social Worker 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 2012-02-03
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639603541 Minnetonka Counseling LLC Psychologist 12301 Whitewater Dr # 30, Minnetonka, MN 55343-9447 2017-04-18
1144554858 Clare N Buntrock Psychologist 10275 Wayzata Blvd, #270, Minnetonka, MN 55305-1659 2009-09-28
1033267612 Alecia Ann Viera Psychologist 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1502 2007-01-08
1407926363 Rita A Benak Psychologist 11900 Wayzata Blvd Ste 200, Minnetonka, MN 55305-2053 2006-11-08
1720171382 Peggy Susan Maki Psychologist 601 Carlson Pkwy, Suite 1050, Minnetonka, MN 55305-5203 2006-10-02
1548370190 Johanna Lee Lamm Psychologist 11812 Wayzata Blvd, Suite 212, Minnetonka, MN 55305-2012 2006-08-30
1821106279 Sara Elvabogestad Schilplin Psychologist 12301 Whitewater Dr, Ste 101, Minnetonka, MN 55343-9447 2006-08-27
1386757300 Jacquelyn K. Wiersma Psychologist 3931 Auburn Dr, Minnetonka, MN 55305-5196 2006-08-16
1053325175 Susan Kay Powers Olson Psychologist 17508 Minnetonka Blvd, Minnetonka, MN 55345-1007 2006-07-27
1114974201 The Terrace Group Ltd Psychologist 10580 Wayzata Blvd, Ste 150, Minnetonka, MN 55305-1657 2006-05-27
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Competitor

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City MINNETONKA
Zip Code 55305

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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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