ALYSSA K VANG (NPI# 1679686299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679686299 |
| Entity Type | Individual |
| Full Name | ALYSSA K VANG |
| Credential | PSYD LP |
| Practice Address |
347 North Smith Avenue Childrens Specialty Clinic Psychological Services St Paul MN 55102 |
| Mailing Address |
2910 Centre Pointe Drive 35 121a Childrens Health Care Roseville MN 55113 |
| Practice Telephone | 6512206720 |
| Practice Fax Number | 6512206707 |
| Mailing Telephone | 6518552327 |
| Mailing Fax Number | 6518552310 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | LP4389 | MN | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
LP4389 | MN | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP4389 | MN | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
LP4389 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093200685 | Alyssa Fuabkaaj Vang | Behavioral Analyst | 6200 Sw Arctic Dr, Beaverton, OR 97005-9447 | 2018-06-26 |
| Street Address |
347 NORTH SMITH AVENUE CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES |
| City | ST PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225008527 | Julie Chu | Pediatrics | 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-01-26 |
| 1033245980 | Rebekah A Forrest | Nurse Practitioner | 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 | 2007-02-26 |
| 1740369602 | Diane J Schmidt | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 | 2006-11-03 |
| 1386723245 | Cathleen M Rock | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Neurology Stpl, St Paul, MN 55102 | 2006-11-03 |
| 1285713396 | Mylynda S Livingston | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-11-02 |
| 1437238540 | Jodie A Raymaker | Psychologist | 347 North Smith Avenue, Midwest Childrens Resource Center 401, St Paul, MN 55102 | 2006-11-02 |
| 1568566826 | John F Helminski | Psychologist | 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 | 2006-09-08 |
| 1215039268 | Vicki L Nauschultz | Psychologist | 347 North Smith Avenue, 401, St Paul, MN 55102 | 2006-09-01 |
| 1376656991 | Jeremy T Alden | Clinical Neuropsychologist | 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 | 2006-08-17 |
| 1700999331 | Denise A Marvinney | Psychologist | 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 | 2006-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1861600736 | Jill T Flower | Psychologist | 1885 Universtiy Ave W, Suite 325, St Paul, MN 55104-3458 | 2007-05-21 |
| 1962619031 | John Paul Ellis | Psychologist | 1108 Grand Avenue, #2, St Paul, MN 55105-2614 | 2007-05-17 |
| 1467673137 | Valerie Godet | Psychologist | 1418 Grand Avenue, St Paul, MN 55105 | 2007-05-01 |
| 1447470687 | David K Kronmiller | Psychologist | 1678 Selby Ave., St Paul, MN 55104 | 2007-04-30 |
| 1114042819 | Jeanette Elaine Truchsess | Psychologist | 348 Prior Avenue North, St Paul, MN 55104 | 2007-03-20 |
| 1073678025 | Joyce Elaine Stockton | Psychologist | 1821 University Av W, Suite 2955, St Paul, MN 55104 | 2006-12-27 |
| 1972668069 | Ann Loring Meissner | Psychologist | 1840 University Ave W, #301, St Paul, MN 55104-3926 | 2006-12-27 |
| 1770644155 | Janet E Fisher | Psychologist | 263 Cecelia Place, St Paul, MN 55105 | 2006-12-12 |
| 1942379995 | Robert Alan Kane | Psychologist | 311 Ramsey Street, St Paul, MN 55102-2323 | 2006-11-06 |
| 1730263385 | Kathleen A Garry | Psychologist | 2550 University Ave W #435-s, Midwest Center for Personal & Family Development, Pa, St Paul, MN 55114-1096 | 2006-10-24 |
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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.