SPEARE PSYCHOLOGICAL SERVICES PA (NPI# 1508086679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508086679 |
| Entity Type | Organization |
| Organization Name | SPEARE PSYCHOLOGICAL SERVICES PA |
| Practice Address |
225 1st St N Suite 3100 Virginia MN 55723 |
| Practice Telephone | 2187413740 |
| Practice Fax Number | 2187419492 |
| Mailing Telephone | 2187413740 |
| Mailing Fax Number | 2187419492 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | DR. JONATHAN SPEARE (CEO OWNER) |
| Authorized Official Telephone | 2187413740 |
| Authorized Official Credential | PHD LICENSED PSY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP0655 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UNITED BEHAVIORAL HEALTH | 6101470 | 01 |
| MN | BCBS | 8L596SP | 01 |
| MN | MAGELLAN | 000512001 | 01 |
| MN | 850347800 | 05 | |
| MN | VALUE OPTIONS | 074048 | 01 |
| MN | PREFERREDONE | 100318 | 01 |
| MN | UCARE | 110500 | 01 |
| Street Address |
225 1ST ST N SUITE 3100 |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962537282 | Jonathan Speare | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55792-2457 | 2007-02-23 |
| 1366659005 | Speare & Sampson Pa | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55792 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225258320 | Turning Point Counseling Pa | Marriage & Family Therapist | 19 E Vermilion Dribe, Suite B, Cook, MN 55723 | 2007-04-30 |
| 1639295124 | Linda Ann Albertson | Marriage & Family Therapist | 19 E Vermillon Dr, Suite B Turning Point Counseling Pa, Cook, MN 55723 | 2007-03-22 |
| 1093850950 | City of Cook | Ambulance | 127 S River St, Cook, MN 55723 | 2007-02-20 |
| 1346337128 | Franks Pharmacy Inc | Pharmacy | #1 West Vermilion Drive, Cook, MN 55723 | 2006-10-05 |
| 1164514493 | Cook Chiropractic Center Ltd. | Chiropractor | 19 E Vermilion Dr, Po 395, Cook, MN 55723 | 2006-09-28 |
| 1497930861 | Bradley Scott Horoshak | Chiropractor | 19 E Vermilion Dr, Po 395, Cook, MN 55723 | 2008-01-04 |
| 1750421160 | Jerel Dean Johnson | Technician/Technologist | 23 East Vermilion Ave, Cook, MN 55723-0127 | 2007-02-07 |
| 1275731317 | Minnesota Correctional Facility -togo | Substance Abuse Rehabilitation Facility | 62741 County Road 551, Togo, MN 55723-4509 | 2007-07-10 |
| 1659508182 | True Care Medical Therapy Center Inc | Occupational Therapist | 221 Highway 53, Suite D, Cook, MN 55723-5102 | 2009-06-10 |
| 1447659545 | Kelli Hansen | Physical Therapist | 221 Highway 53, Suite D, Cook, MN 55723-5102 | 2014-08-14 |
| Find all providers in zip 55723 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962537282 | Jonathan Speare | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55792-2457 | 2007-02-23 |
| 1134220528 | Barbara J Thorne | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1366659005 | Speare & Sampson Pa | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55792 | 2007-05-16 |
| 1619048980 | Heather Joy Roark | Psychologist | 624 13th St S, Virginia, MN 55792-3149 | 2006-11-10 |
| 1174615058 | Autumn V Cole | Psychologist | 624 S 13th St, Virginia, MN 55792 | 2006-09-29 |
| 1114028586 | Robert W Mcallister Jr. | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1801997044 | Craig D Stevens | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1992806384 | Susan M Gillespie | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1265533640 | Mary J Carpenter | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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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.