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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BLUE CROSS BLUE SHIELD | 46784KR | 01 |
Street Address |
2239 CARTER AVE |
City | ST PAUL |
State | MN |
Zip Code | 55108 |
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 |
Find all providers in zip 55108 |
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 |
---|---|---|---|---|
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 |
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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.