DR. SAARI ANNE MCCORNACK (NPI# 1518437912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518437912 |
Entity Type | Individual |
Full Name | DR. SAARI ANNE MCCORNACK |
Credential | PSYD |
Practice Address |
207 Jefferson Blvd Big Lake MN 55309-4667 |
Mailing Address |
1900 Silver Lake Rd Nw New Brighton MN 55112-1786 |
Practice Telephone | 7632637897 |
Mailing Telephone | 6513791718 |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
5789 | MN | Behavioral Health & Social Service Providers |
Street Address |
207 JEFFERSON BLVD |
City | BIG LAKE |
State | MN |
Zip Code | 55309-4667 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184789430 | Daniel Lloyd Miller | Marriage & Family Therapist | 207 Jefferson Blvd, Big Lake, MN 55309 | 2006-12-27 |
1316554298 | Sharon M Melin | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2020-09-25 |
1962066589 | Jennica Wanha | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2019-04-29 |
1750857207 | Thomas Brice Ritchie | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2018-10-22 |
1952890469 | Chris Brendemuhl | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2018-05-09 |
1861989709 | Paige Marie Myhra | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2018-04-17 |
1972015899 | Stephanie Ruth Warwas | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2017-11-01 |
1710408398 | Daren Eugene Carlson | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2017-07-04 |
1922551597 | Eileen Marie Peterson | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2016-07-29 |
1275986275 | Ashley Solberg | Counselor | 207 Jefferson Blvd, Big Lake, MN 55309-4667 | 2016-07-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356986475 | Barbro E Strom Langley | Technician | 16901 River View Cir, Big Lake, MN 55309 | 2019-11-13 |
1629589544 | Pdg, Pa | Clinic/Center | 16991 198th Ave Nw, Big Lake, MN 55309 | 2017-10-18 |
1669821765 | Laura Ann Dill | Dentist | 290 Eagle Lake Rd N, Big Lake, MN 55309 | 2016-06-09 |
1295008068 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 171 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
1013280882 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 177 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
1760704712 | Mary Ellen Venzke | Adult Companion | 19729 183rd Avenue, Big Lake, MN 55309 | 2010-02-18 |
1174700611 | Country Services Inc | Case Management | 641 Park Ave E, Big Lake, MN 55309 | 2008-01-28 |
1942481593 | Monticello Dental Group | Dentist | 20460 Co. Rd.11 Nw, Big Lake, MN 55309 | 2007-11-23 |
1336367242 | Family Prospective Resources, Inc | Marriage & Family Therapist | 35 Lake St So, Big Lake, MN 55309 | 2007-04-23 |
1598983470 | Jennifer Ann Lawrence | Marriage & Family Therapist | 35 Lake Street South #200, Big Lake, MN 55309 | 2007-04-23 |
Find all providers in zip 55309 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
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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.