MICHAELA D.M. SMITH (NPI# 1982953675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982953675 |
| Entity Type | Individual |
| Full Name | MICHAELA D.M. SMITH |
| Credential | PSYD, LP |
| Practice Address |
1925 Woodwinds Dr Woodbury MN 55125-2270 |
| Mailing Address |
1700 University Ave W 6th Floor Saint Paul MN 55104-3727 |
| Practice Telephone | 6512320100 |
| Mailing Telephone | 6512322273 |
| Mailing Fax Number | 6512324953 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5813 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518464015 | Michaela K Smith | Occupational Therapist | 13 Edgewood Rd, Durham, NH 03824-1902 | 2018-04-11 |
| 1588279004 | Michaela Smith | Counselor | 100 Independence Dr, Hyannis, MA 02601-1898 | 2020-09-11 |
| 1821590449 | Michaela Dee Smith | Technician, Other | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1164956017 | Michaela N. Smith | Pharmacist | 105 Southfield Rd, Shreveport, LA 71105 | 2017-04-18 |
| Street Address |
1925 WOODWINDS DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307223 | Pamela Lynn Schmidt | Registered Nurse | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2020-02-11 |
| 1386287910 | Sara Beth Roslansky | Clinical Nurse Specialist | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2019-10-27 |
| 1154789741 | Enrico Ramon Johnson | Nurse Practitioner | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2016-02-10 |
| 1699133876 | Caroline Brouwer | Registered Nurse | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2016-02-03 |
| 1174909303 | Sarah Raymond | Social Worker | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2015-08-11 |
| 1154701282 | Ryan Ban | Family Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125 | 2015-06-03 |
| 1801282447 | Richie Kimlong Huynh | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125 | 2015-04-10 |
| 1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
| 1891033312 | Claire Stuessy | Social Worker | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2013-01-17 |
| 1235498874 | Teresa Marie Demarais | Dietitian, Registered | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2012-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932573599 | Jd Psychological Services, PC | Psychologist | 10 Lower Cmns, Woodbury, CT 06798-3219 | 2015-11-19 |
| 1124425756 | Reflective Psychology Associates, Pllc | Psychologist | 144 Woodbury Rd, 16, Woodbury, NY 11797-1418 | 2014-11-25 |
| 1750722195 | Craig Martin Roelke | Psychologist | 6063 Hudson Rd, Suite 200, Woodbury, MN 55125-4454 | 2013-07-15 |
| 1023389186 | Amy Hilburger | Psychologist | 576 Bielenberg Dr Ste 250, Woodbury, MN 55125-1739 | 2012-01-21 |
| 1134457047 | Behavior Therapy Solutions of Minnesota | Psychologist | 700 Commerce Dr Ste 260, Woodbury, MN 55125-9243 | 2009-12-04 |
| 1588896310 | Penticoff Community Counseling, Inc. | Psychologist | 1818 Wooddale Dr Ste 204, Woodbury, MN 55125-2983 | 2009-08-12 |
| 1902045669 | Alison Paige Hawkinson | Psychologist | 680 Commerce Dr, Woodbury, MN 55125-4501 | 2009-02-19 |
| 1720294796 | William Joseph Russo | Psychologist | 109 Woodlake Dr W, Woodbury, NY 11797-2308 | 2007-05-15 |
| 1396950523 | Kattar Consulting, PC | Psychologist | 3490 Richmond Pkwy, Woodbury, MN 55129-4914 | 2007-05-11 |
| 1841404555 | Wendy Scarlet Stapen | Psychologist | 56 Orchard Dr, Woodbury, NY 11797-2830 | 2007-05-10 |
| Find all providers in WOODBURY | ||||
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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.