MARIA MERCEDES RICCARDI (NPI# 1780918763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780918763 |
| Entity Type | Individual |
| Full Name | MARIA MERCEDES RICCARDI |
| Credential | PSY D LP |
| Practice Address |
1406 6th Avenue North St Cloud Hospital St. Cloud MN 56303-1900 |
| Mailing Address |
1406 6th Avenue North St Cloud Hospital St Cloud MN 56303-1900 |
| Practice Telephone | 3202512700 |
| Practice Fax Number | 3206567115 |
| Mailing Telephone | 3202512700 |
| Mailing Fax Number | 3206567115 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2014-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP5779 | MN | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356663728 | Maria Angela Riccardi | Pharmacist | 39 Valerie Dr, Yonkers, NY 10703-1127 | 2010-02-25 |
| Street Address |
1406 6TH AVENUE NORTH ST CLOUD HOSPITAL |
| City | ST. CLOUD |
| State | MN |
| Zip Code | 56303-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500594 | Teresa Mary Rock | Counselor | 1406 6th Avenue North, St. Cloud, MN 56303 | 2018-02-28 |
| 1477053155 | Rachel Flygare | Counselor | 1406 6th Avenue North, St. Cloud, MN 56303 | 2018-02-19 |
| 1790225787 | Kristine Lawrence | Physical Therapist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2017-02-24 |
| 1821489311 | Sandra Paulette Elwood | Registered Nurse | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1900 | 2015-02-05 |
| 1174869648 | Matthew Carl Mcclure | Psychiatry & Neurology | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2013-01-02 |
| 1619221140 | Angela Marie Williams Schroden | Counselor | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-11-06 |
| 1003187899 | Monica Marie Guggenberger | Marriage & Family Therapist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-01-25 |
| 1407148588 | Ryan Michael Engdahl | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2011-05-09 |
| 1386947653 | Jessica Rose Vander Weyst | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-12-08 |
| 1346543725 | Rebecca Irene Rogholt | Clinical Nurse Specialist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659521540 | Rebecca Louise Pohlig Schroeder | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405202 | Q Collective, LLC | Psychologist | 3413 Wilshire Pl Ne, Minneapolis, MN 55418-1447 | 2019-03-09 |
| 1043714199 | Julianna Sapienza | Psychologist | 2545 Chicago Ave Ste 217, Minneapolis, MN 55404-4556 | 2018-03-22 |
| 1942758701 | Dana Hoehn | Psychologist | 4636 Lyndale Ave S, Lower Unit, Minneapolis, MN 55419-5302 | 2016-09-21 |
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1861737041 | Decisionpoint Behavioral Health, Inc. | Psychologist | 206 S Broadway, Suite 411a, Rochester, MN 55904-6502 | 2012-11-29 |
| 1063725166 | Thomas Robert Lutz | Psychologist | 1125 Ramsey St, Hastings, MN 55033-2811 | 2010-07-17 |
| 1366755597 | Kristin L Ballard | Psychologist | 4005 W 65th St Ste 110, Edina, MN 55435-1700 | 2010-07-16 |
| 1316180011 | Brenda Diane Brant | Psychologist | 18473 97th Pl N, Maple Grove, MN 55311-1368 | 2009-04-09 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| 1710196522 | Bill J Duke | Psychologist | 420 Center Ave Ste 7, Moorhead, MN 56560-1962 | 2007-05-21 |
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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.