ASPIRE MENTAL HEALTH, LLC (NPI# 1992941728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992941728 |
| Entity Type | Organization |
| Organization Name | ASPIRE MENTAL HEALTH, LLC |
| Practice Address |
1595 Selby Ave Suite 102 Saint Paul MN 55104-6221 |
| Practice Telephone | 6122206020 |
| Mailing Telephone | 6122206020 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | PAUL D. JANDL (CO-OWNER) |
| Authorized Official Telephone | 6128225557 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
1595 SELBY AVE SUITE 102 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-6221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982648341 | Sandra Lee Tazelaar | Social Worker | 1595 Selby Ave, Saint Paul, MN 55104 | 2006-06-16 |
| 1881986065 | Jennifer Born, Psy.d., Licensed Psychologist, LLC | Psychologist | 1595 Selby Ave, Suite 106, Saint Paul, MN 55104 | 2011-05-06 |
| 1811286594 | Tazelaar Psychotherapy Services LLC | Social Worker | 1595 Selby Ave, Saint Paul, MN 55104-6221 | 2011-04-01 |
| 1154640696 | Peter Delander Freeman | Social Worker | 1595 Selby Ave, Suite 200, Saint Paul, MN 55104-6221 | 2010-05-24 |
| 1902133440 | Thyra Anne Fossum | Psychologist | 1595 Selby Ave, Suite 109, Saint Paul, MN 55104-6221 | 2009-11-04 |
| 1598994378 | Michael J Miller Consulting LLC | Clinic/Center | 1595 Selby Ave, Suite 210, Saint Paul, MN 55104-6221 | 2009-07-14 |
| 1760611933 | Jennifer Born | Psychologist | 1595 Selby Ave, Suite 106, Saint Paul, MN 55104-6221 | 2009-07-09 |
| 1588819551 | Beverly Jean Long | Psychologist | 1595 Selby Ave, Suite 202, Saint Paul, MN 55104-6221 | 2008-11-18 |
| 1174785034 | Rodgers Psychological Services, Inc | Psychologist | 1595 Selby Ave, Suite 210, Saint Paul, MN 55104-6221 | 2008-07-01 |
| 1922271022 | Raja M. David Psy.d., L.p., LLC | Psychologist | 1595 Selby Ave, Saint Paul, MN 55104-6221 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114189123 | Aviel Goodman | Psychiatry & Neurology | 1347 Summit Ave, Saint Paul, MN 55105-2219 | 2008-06-30 |
| 1649462185 | Toni Rae Magnuson | Psychiatry & Neurology | 325 Cedar St Ste 803, Saint Paul, MN 55101-1012 | 2007-08-17 |
| 1528288552 | Steven C Miller | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102-2481 | 2007-05-01 |
| 1003907155 | Walter Kenneth Rush Iv | Psychiatry & Neurology | 275 4th St E, Saint Paul, MN 55101-1696 | 2006-09-27 |
| 1811903842 | Gregg A Horras | Psychiatry & Neurology | 360 Sherman St Ste 100, Saint Paul, MN 55102-2425 | 2006-07-31 |
| 1871566331 | Thomas G Gratzer | Psychiatry & Neurology | 2550 University Ave W Ste 229n, Saint Paul, MN 55114-1902 | 2006-02-07 |
| 1518952274 | John M Kuzma | Psychiatry & Neurology | 640 Jakcson St, Saint Paul, MN 55101 | 2005-09-19 |
| 1407201742 | Thomas Lyle Fewer | Psychiatry & Neurology | 640 Jackson St, Saint Paul, MN 55101-2502 | 2016-04-24 |
| 1124482807 | Michael Shane Farrell | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102-2481 | 2016-04-08 |
| 1174943823 | Lindsay Merriman | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102 | 2014-04-21 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.