DR. MATTHEW HALL (NPI# 1669039764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669039764 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW HALL |
| Credential | PH.D., LP |
| Practice Address |
521 Tanglewood Dr Shoreview MN 55126-2016 |
| Mailing Address |
2504 8th St Saint Paul MN 55110-5722 |
| Practice Telephone | 6515050856 |
| Mailing Telephone | 6123276613 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP6332 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669927018 | Matthew Hall | Occupational Therapist | 10212 Ravenscourt Dr Apt 207, Spotsylvania, VA 22553-4455 | 2016-08-15 |
| 1932581089 | Matthew Hall | General Practice | 1232 Rigby Rd, Bancroft, ID 83217 | 2015-06-25 |
| 1437546389 | Matthew Emery Hall | Counselor | 7000 W Britton Rd Apt 105, Oklahoma City, OK 73132-1705 | 2015-04-17 |
| 1841613734 | Matthew Bradley Hall | Dentist | 19028 E 58th Ave, Denver, CO 80249-6787 | 2014-01-28 |
| 1962764522 | Matthew Mcgillvray Hall | Emergency Medicine | One Deaconess Rd, W-cc2, Department of Emergency Medicine, Boston, MA 02215 | 2012-06-11 |
| 1659590040 | Matthew Alan Hall | Physical Therapist | 328 S Woodscrest Dr, Bloomington, IN 47401-5314 | 2007-04-24 |
| 1922019595 | Matthew B Hall | Dentist | 2045 Lee Rd, Winter Park, FL 32789-1836 | 2006-08-10 |
| 1710962220 | Matthew D Hall | Preventive Medicine | 4200 Wilson Blvd, Suite 1100, Arlington, VA 22203-1800 | 2005-12-08 |
| 1972131530 | Matthew Wayne Hall | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 | 2020-03-30 |
| 1639729692 | Matthew Thomas Hall | Nurse Practitioner | 960 Mount Olive Rd, Gardendale, AL 35071-4655 | 2019-09-12 |
| Street Address |
521 TANGLEWOOD DR |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228776 | Woodcrest Counseling, Inc | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2005-07-08 |
| 1407306939 | Sagewood Counseling, LLC | Marriage & Family Therapist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2016-10-07 |
| 1730539305 | Sheila Conlin Ma, Lp Lmft | Counselor | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2016-06-15 |
| 1972964534 | Lisa Lemay | Marriage & Family Therapist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2016-03-10 |
| 1366687451 | Miriam Zachary | Marriage & Family Therapist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2008-12-03 |
| 1699811752 | Penny Giesbrecht, Psyd Lp Pa | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2007-01-29 |
| 1558454793 | Lawrence William Foley | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-10-02 |
| 1174616247 | Ann Louise Jones | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-10-02 |
| 1851499289 | Sheila Conlin | Counselor | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-09-20 |
| 1447362231 | Behavioral Resources | Clinic/Center | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| 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 |
|---|---|---|---|---|
| 1558735779 | Shoreview Mental Health Center, LLC | Psychologist | 5985 Rice Creek Pkwy Ste 201, Shoreview, MN 55126-5037 | 2015-11-27 |
| 1588734461 | Rita C Stanoch | Psychologist | 1030 W County Rd E, Shoreview, MN 55126 | 2006-11-08 |
| 1073619664 | Thomas Lawrence Alberg | Psychologist | 470 W Highway 96, Suite 280, Shoreview, MN 55126 | 2006-09-15 |
| 1427081413 | Vaughn Robert Jefferson Jr. | Psychologist | 1030 West County Road E, Ste 260, Shoreview, MN 55126 | 2006-07-10 |
| 1558338673 | Midwest Clinical Psychologist | Psychologist | 5760 Royal Oaks Dr, Shoreview, MN 55126-8490 | 2006-03-07 |
| 1144228776 | Woodcrest Counseling, Inc | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2005-07-08 |
| 1710337944 | Rebecca Jorgensen | Psychologist | 470 Highway 96 W, Suite 280, Shoreview, MN 55126-1996 | 2016-06-19 |
| 1164635975 | John Alan Stoltzfus | Psychologist | 521 Tanglewood Drive, Shoreview, MN 55126 | 2007-05-08 |
| 1982766598 | Elissa Beth Abrams | Psychologist | 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126-8049 | 2006-12-14 |
| 1679649602 | Thomas Michael Graske | Psychologist | 521 Tanglewood Drive, Shoreview, MN 55126-2016 | 2006-11-28 |
| Find all providers in SHOREVIEW | ||||
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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.