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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | LP6297 | MN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
33 Electric Ave Ste B03, Fitchburg, MA 014207954 | 9786273929 |
Street Address |
435 PHALEN BLVD |
City | SAINT PAUL |
State | MN |
Zip Code | 55130 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55130 |
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 |
---|---|---|---|---|
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 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55130 |
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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.