MICHAEL V. DESANCTIS, PHD, ABPP, LICENSED PSYCHOLOGIST PLLC (NPI# 1780992479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780992479 |
| Entity Type | Organization |
| Organization Name | MICHAEL V. DESANCTIS, PHD, ABPP, LICENSED PSYCHOLOGIST PLLC |
| Practice Address |
413 Wacouta St Ste 550 Saint Paul MN 55101-1645 |
| Practice Telephone | 6512259222 |
| Practice Fax Number | 6512259224 |
| Mailing Telephone | 6512259222 |
| Mailing Fax Number | 6512259224 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | DR. MICHAEL VITO DESANCTIS (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 6512259222 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1395 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA HEALTH CARE | 261348400 | 01 |
| Street Address |
413 WACOUTA ST STE 550 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548275548 | Leatrice Mankin Sherer | Psychologist | 413 Wacouta St Ste 550, Saint Paul, MN 55101-1645 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
| 1124597133 | Take Flight Counseling Services LLC | Psychologist | 1821 University Ave W Ste S303, Saint Paul, MN 55104-2813 | 2018-11-19 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1851845267 | Sharon Black | Psychologist | 1774 Sheridan Ave, Saint Paul, MN 55116-2730 | 2016-08-15 |
| 1457760316 | Mera Kachgal | Psychologist | 121 7th Pl E Ste 300, Dds, Saint Paul, MN 55101-2116 | 2014-08-05 |
| 1316230238 | Psybiz, Inc. | Psychologist | 155 Wabasha St S Ste 122, Saint Paul, MN 55107-1822 | 2011-05-25 |
| 1093006215 | (albina) Louise Hiniker | Psychologist | 1811 Bayard Ave, Saint Paul, MN 55116-1437 | 2011-04-21 |
| 1306171889 | Renee Fredrickson | Psychologist | 1248 Bucher Ave, Saint Paul, MN 55126-8602 | 2009-10-16 |
| 1689826158 | Sheila Maland | Psychologist | 311 Ramsey St Ste 205, Saint Paul, MN 55102-2323 | 2008-10-16 |
| 1497904114 | Patricia Anne Stankovitch | Psychologist | 2136 Ford Pkwy, #200, Saint Paul, MN 55116-1863 | 2008-09-17 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
Please comment or provide details below to improve the information on MICHAEL V. DESANCTIS, PHD, ABPP, LICENSED PSYCHOLOGIST PLLC.
| 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.