MR. JOHN HENRY KRUMBERGER


Address: 2239 Carter Ave, St Paul, MN 55108
Phone: 6516453590

MR. JOHN HENRY KRUMBERGER (NPI# 1881712099) 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) 1881712099
Entity Type Individual
Full Name MR. JOHN HENRY KRUMBERGER
Credential PHD
Practice Address 2239 Carter Ave
St Paul
MN 55108
Mailing Address 127 Malcolm Ave Se
Minneapolis
MN 55414
Practice Telephone 6516453590
Practice Fax Number 6516452439
Mailing Telephone 6126237919
Mailing Fax Number 6516452439
Enumeration Date 2007-03-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist LP0166 MN Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
LP0166 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BLUE CROSS BLUE SHIELD 46784KR 01

Office Location

Street Address 2239 CARTER AVE
City ST PAUL
State MN
Zip Code 55108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306490677 Kyle Leonard Bernier Student in an Organized Health Care Education/Training Program 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 2019-07-25
1356870778 Kathleen Louise Kocon Marriage & Family Therapist 2230 Como Ave., Saint Paul, MN 55108 2017-06-08
1871965830 Jill Hansen Specialist 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 2015-10-29
1871821140 Angela Joyce Anderson Speech-Language Pathologist 2266 Hillside Avenue, Saint Paul, MN 55108 2009-11-25
1265769418 Dakota Baker Counselor 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 2009-11-09
1255583449 Suzanne Elizabeth Trunnell Nurse Practitioner 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 2008-10-21
1982851358 Kimberly Joy Bahma Pharmacist 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 2008-08-27
1952566093 Caring Professionals Homecare, LLC Home Health 1543 Como Ave Ste 101, Saint Paul, MN 55108 2008-07-28
1700077344 Archana Mani Dentist 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 2007-08-08
1457554735 Catherine Lawrence Scharlau Psychologist 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 2007-06-06
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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
1861600736 Jill T Flower Psychologist 1885 Universtiy Ave W, Suite 325, St Paul, MN 55104-3458 2007-05-21
1962619031 John Paul Ellis Psychologist 1108 Grand Avenue, #2, St Paul, MN 55105-2614 2007-05-17
1467673137 Valerie Godet Psychologist 1418 Grand Avenue, St Paul, MN 55105 2007-05-01
1447470687 David K Kronmiller Psychologist 1678 Selby Ave., St Paul, MN 55104 2007-04-30
1114042819 Jeanette Elaine Truchsess Psychologist 348 Prior Avenue North, St Paul, MN 55104 2007-03-20
1073678025 Joyce Elaine Stockton Psychologist 1821 University Av W, Suite 2955, St Paul, MN 55104 2006-12-27
1972668069 Ann Loring Meissner Psychologist 1840 University Ave W, #301, St Paul, MN 55104-3926 2006-12-27
1770644155 Janet E Fisher Psychologist 263 Cecelia Place, St Paul, MN 55105 2006-12-12
1942379995 Robert Alan Kane Psychologist 311 Ramsey Street, St Paul, MN 55102-2323 2006-11-06
1730263385 Kathleen A Garry Psychologist 2550 University Ave W #435-s, Midwest Center for Personal & Family Development, Pa, St Paul, MN 55114-1096 2006-10-24
Find all providers in ST PAUL

Competitor

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City ST PAUL
Zip Code 55108

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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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