DR. JUSTIN A. GERSTNER (NPI# 1780962670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780962670 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN A. GERSTNER |
| Credential | M.D. |
| Practice Address |
2001 Beam Ave Maplewood MN 55109-1401 |
| Mailing Address |
2001 Beam Ave Maplewood MN 55109 |
| Practice Telephone | 9527374500 |
| Practice Fax Number | 6512090514 |
| Mailing Telephone | 9527374500 |
| Mailing Fax Number | 6512090514 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
61457-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
60051 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2001 BEAM AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912168642 | Adam Phillip Klapperich | Psychiatry & Neurology | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2008-06-25 |
| 1295349678 | Jenna Kamholz | Counselor | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2020-09-03 |
| 1700495470 | Alyssa Foley | Social Worker | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2020-07-28 |
| 1265084735 | Denise Bloczynski Rodiles | Marriage & Family Therapist | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2019-07-15 |
| 1407357007 | April Knipfer | Social Worker | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2018-02-28 |
| 1679004964 | Melissa Seidel | Social Worker | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2017-03-27 |
| 1912364126 | Lisa Marie Atkinson | Marriage & Family Therapist | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2016-01-19 |
| 1285027854 | Mary Rosener | Marriage & Family Therapist | 2001 Beam Ave, Maplewood, MN 55109 | 2015-03-06 |
| 1962820753 | Christopher Ochocki | Counselor | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2014-03-31 |
| 1497181598 | Beau Martin Gray | Counselor | 2001 Beam Ave, Maplewood, MN 55109 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972707388 | Jennifer Leigh Abramson | Psychiatry & Neurology | 511 Valley Street, Suite 201, Maplewood, NJ 07040 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
| 1841514734 | Sara Jean Polley | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-03-21 |
| 1356597041 | Wei Guan | Psychiatry & Neurology | 3800 Park Nicollet Blvd Ste 650, St Louis Park, MN 55416-2527 | 2008-08-13 |
| 1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
| 1396885646 | Muhammad Waqar Azeem | Psychiatry & Neurology | 11705 State Ave, Brainerd, MN 56401-7307 | 2007-02-07 |
| 1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
| 1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
| 1891884326 | Highland Psychiatric Services Pa | Psychiatry & Neurology | 897 St Paul Ave, St Paul, MN 55116 | 2006-10-12 |
| 1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
| 1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
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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.