JENNIFER BETH MCDERMOTT (NPI# 1568510824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568510824 |
| Entity Type | Individual |
| Full Name | JENNIFER BETH MCDERMOTT |
| Credential | PH.D. |
| Practice Address |
1919 University Ave W Suite 200 Saint Paul MN 55104-3453 |
| Mailing Address |
1755 Ashland Ave Saint Paul MN 55104-6168 |
| Practice Telephone | 6512667992 |
| Practice Fax Number | 6512667854 |
| Mailing Telephone | 6519173843 |
| Mailing Fax Number | 6512667854 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP 4569 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 692635500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346891959 | Jennifer Tobin Mcdermott | Occupational Therapist | 4525 Old Pond Dr, Plano, TX 75024-4708 | 2019-09-25 |
| 1659829596 | Jennifer Mae Mcdermott | Dental Hygienist | 34679 Alpine Ave, Saint Helens, OR 97051-9307 | 2016-09-20 |
| 1760833453 | Jennifer Anne Mcdermott | Behavioral Analyst | 490 Woodland Shores Rd Apt B, Charleston, SC 29412-2427 | 2016-06-24 |
| 1326227281 | Jennifer Lynn Mcdermott | Registered Nurse | 8320 Kniseley Rd, Greenville, OH 45331-9422 | 2007-10-29 |
| 1417281882 | Jennifer Bridget Mcdermott | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2009-10-01 |
| 1306056684 | Jennifer Kristen Mcdermott | Developmental Therapist | 71 Orphanage Rd, Ft Mitchell, KY 41017-3006 | 2007-05-23 |
| Street Address |
1919 UNIVERSITY AVE W SUITE 200 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912911918 | Alex Chernyavsky | Chiropractor | 1919 University Ave W, Suite 105, Saint Paul, MN 55104-3453 | 2006-07-28 |
| 1316453434 | Laura Cooper | Counselor | 1919 University Ave W, Saint Paul, MN 55104-3453 | 2017-12-27 |
| 1598278285 | Stephanie Dreis | Counselor | 1919 University Ave W, Saint Paul, MN 55104-3453 | 2017-11-16 |
| 1740722792 | Phillip Tarmann | Counselor | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2016-11-08 |
| 1356899124 | Layla Ali Abdi | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2016-09-21 |
| 1396102984 | Margaret Neuman | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2016-01-27 |
| 1639543556 | Jessica Luehring | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2015-11-16 |
| 1437533056 | Kenya Walker | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2015-07-14 |
| 1104229038 | Kari Fonstad | Counselor | 1919 University Ave W, 200, Saint Paul, MN 55104-3453 | 2014-10-07 |
| 1811328941 | Amy Lee Acker | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2013-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669992186 | Stephanie Bruss | Psychologist | 821 Raymond Ave # 130c, Saint Paul, MN 55114-1503 | 2017-06-26 |
| 1679977326 | Jennifer D. Karel | Psychologist | 1123 Grand Ave Ste 301, Saint Paul, MN 55105-2629 | 2014-10-09 |
| 1699038265 | Minnesota Organization On Fetal Alcohol Syndrome (mofas) | Psychologist | 2233 University Ave W Ste 395, Saint Paul, MN 55114-1600 | 2012-06-19 |
| 1821356098 | Mainhia Khang | Psychologist | 393 Dunlap St N Ste 105, Saint Paul, MN 55104-4211 | 2012-04-25 |
| 1609153378 | Quo Psychotherapy, P.a. | Psychologist | 821 Raymond Ave Ste 230c, Saint Paul, MN 55114-1525 | 2011-11-09 |
| 1831486216 | Bonnie Sue Mcmillin | Psychologist | 457 Portland Ave, 3, Saint Paul, MN 55102-2499 | 2011-07-06 |
| 1285935064 | Sarah L. Hart, Ph.d., LLC | Psychologist | 241 Cleveland Ave S Ste P, Saint Paul, MN 55105-1208 | 2010-11-09 |
| 1003149717 | Tamarind Knutson | Psychologist | 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298 | 2009-09-13 |
| 1659604874 | Andrea Elizabeth Anderson | Psychologist | 2383 University Ave W Ste 200, U.S. Bank Building, Second Floor, Saint Paul, MN 55114-1603 | 2009-09-08 |
| 1639307622 | Nicole Heffron, LLC | Psychologist | 889 Grand Ave, Suite 202, Saint Paul, MN 55105-3008 | 2009-06-29 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on JENNIFER BETH MCDERMOTT.
| 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.