DR. LEONARDO E CANDELARIO PEREZ


Address: 435 Phalen Blvd, Saint Paul, MN 55130
Phone: 6512548500

DR. LEONARDO E CANDELARIO PEREZ (NPI# 1750767158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750767158
Entity Type Individual
Full Name DR. LEONARDO E CANDELARIO PEREZ
Credential PHD
Practice Address 435 Phalen Blvd
Saint Paul
MN 55130
Mailing Address 8170 33rd Ave S
Ms 21110q
Bloomington
MN 55425-4516
Practice Telephone 6512548500
Practice Fax Number 6512548504
Mailing Telephone 6512548500
Enumeration Date 2015-08-07
Last Update Date 2019-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP6297 MN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
33 Electric Ave Ste B03, Fitchburg, MA 014207954 9786273929

Office Location

Street Address 435 PHALEN BLVD
City SAINT PAUL
State MN
Zip Code 55130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740720812 Nicole Renee Hoisser Nurse Practitioner 435 Phalen Blvd, Saint Paul, MN 55130-5302 2017-03-08
1922548809 Amy Jo Porter Specialist 435 Phalen Blvd, Saint Paul, MN 55130-5302 2017-02-27
1285186619 Katherine Jonas Physician Assistant 435 Phalen Blvd, Saint Paul, MN 55130-5302 2016-11-02
1316491970 Angela Kezar Occupational Therapist 435 Phalen Blvd, Saint Paul, MN 55130-5302 2016-08-11
1760833446 Marie-pier Winters Physical Therapist 435 Phalen Blvd, Saint Paul, MN 55130-5302 2016-06-24
1376904698 Michaelen Elise Sundstrom Physical Therapist 435 Phalen Blvd, Saint Paul, MN 55130-5302 2016-03-14
1932568524 Lindsay Knight Specialist/Technologist 435 Phalen Blvd, Saint Paul, MN 55130-5302 2016-02-11
1134594310 Dawn Babcock Nurse Practitioner 435 Phalen Blvd, Saint Paul, MN 55130-5302 2015-12-14
1487030490 Clinton Mccullough Specialist/Technologist 435 Phalen Blvd, Saint Paul, MN 55130-5302 2015-08-03
1912382193 Melanie Richert Nurse Practitioner 435 Phalen Blvd, Ms51103b, Saint Paul, MN 55130-5302 2015-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164904587 Confident Care LLC In Home Supportive Care 1040 Arkwright Street, Saint Paul, MN 55130 2018-09-01
1881015253 Lucas Bosco Wanga Psychologist 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 2014-01-02
1174865570 Sarang Patel Internal Medicine 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 2013-03-23
1427394501 Zongxee Lee Registered Nurse 1072 Payne Ave, St. Paul, MN 55130 2012-12-18
1740532753 One Stop Medical Supply Inc Durable Medical Equipment & Medical Supplies 1049 Payne Ave Suite C, St Paul, MN 55130 2012-10-15
1689923997 Alexis Simmons Counselor 402 University Ave East, Suite A-127, Saint Paul, MN 55130 2012-08-31
1689804064 Group Health Plan, Inc. Durable Medical Equipment & Medical Supplies 537 Phalen Blvd, Saint Paul, MN 55130 2009-07-21
1477756534 Chad Everett Christensen Chiropractor 1073 Payne Ave, Saint Paul, MN 55130 2007-06-07
1922219021 Qwik Urgent Care Clinic Family Medicine 1239 Payne Avenue, Saint Paul, MN 55130 2007-05-24
1275743981 Yia Vang Technician 1100 Arkwright St., St. Paul, MN 55130 2007-05-23
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073161220 Jeffrey Paul Olsen Psychologist 2275 Youngman Ave Ste 204, Saint Paul, MN 55116-3053 2019-08-30
1205496890 Xenia Ewing Psychologist 1611 County Road B W Ste 214, Saint Paul, MN 55113-5021 2019-06-17
1316432867 Lewis M Rambo Psychologist 624 Selby Ave Ste 2, Saint Paul, MN 55104-6614 2018-06-27
1215450622 Margaret Kellogg, Inc Psychologist 241 Cleveland Ave S Ste 1b, Saint Paul, MN 55105-1255 2017-07-18
1104361971 Ruth Markowitz Ma Lp Psychologist 1599 Selby Ave Ste 107, Saint Paul, MN 55104-6263 2017-01-03
1144624636 Martin J. Schoen, Psy.d., L.L.C. Psychologist 2096 Fairways Ln, Saint Paul, MN 55113-3813 2014-10-13
1770863607 Stacy Coleman Symons Psychologist 7582 Currell Blvd Ste 108, Saint Paul, MN 55125-8210 2011-08-23
1427364355 Vanessa Rachelle Rempel Psychologist 241 Cleveland Ave S Ste B6, Saint Paul, MN 55105-1255 2010-08-30
1295060770 Joseph Vincent Bailey Psychologist 1798 Hewitt Ave, Saint Paul, MN 55104-1129 2009-10-16
1205061785 Rebecca Sarah White Psychologist 180 5th St E, Saint Paul, MN 55101-2672 2009-05-27
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Competitor

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City SAINT PAUL
Zip Code 55130

Improve Information

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Dataset Information

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.

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