Sadaf Islam (NPI# 1760626550, PAC ID# 7719107655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1760626550 |
| PAC ID by PECOS | 7719107655 |
| Professional Enrollment ID | I20150618002061 |
| Full Name | Sadaf Islam |
| Organization Legal Name | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| Address |
1321 13th N St Saint Cloud MN 56303-2613 |
| Phone Number | 3202525010 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | NEUROLOGY |
| Group Practice PAC ID | 4486555877 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 253 8th St Nw, Elk River, MN 55330-2889 | 7634413770 | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| 253 8th St Nw, Suite A, Elk River, MN 55330-2889 | 7634413770 | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| 1321 13th N St, Saint Cloud, MN 56303-2613 | 3202525010 | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| 1406 6th Ave N, Saint Cloud, MN 56303-1901 | 3202512700 | ST. CLOUD HOSPITAL |
| Organization Legal Name | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April Ann Hegdahl | Clinical Social Worker | Central Minnesota Mental Health Center | 1321 13th N St, Saint Cloud, MN 56303-2613 |
| Sherri L Jeffery | Psychologist, Clinical | Central Minnesota Mental Health Center | 1321 13th St N, Saint Cloud, MN 56303-2613 |
| Steven V Loos | Psychologist, Clinical | Central Minnesota Mental Health Center | 407 Washington St, Monticello, MN 55362-8815 |
| Stephanie E Barnes | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Kristi R Sandin-rieck | Clinical Social Worker | Central Minnesota Mental Health Center | 253 8th St Nw, Suite A, Elk River, MN 55330-2889 |
| Richard L Giovannetti | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Abby Louise Wenzel | Nurse Practitioner | Central Minnesota Mental Health Center | 1321 13th St N, Saint Cloud, MN 56303-2613 |
| Gina Marie Theisz | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Chad Randal Vickers | Nurse Practitioner | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Danielle Sarah Brant | Clinical Social Worker | Central Minnesota Mental Health Center | 407 Washington St, Monticello, MN 55362-8815 |
| Street Address |
1321 13TH N ST |
| City | SAINT CLOUD |
| State | MN |
| Zip | 56303-2613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April Ann Hegdahl | Clinical Social Worker | Central Minnesota Mental Health Center | 1321 13th N St, Saint Cloud, MN 56303-2613 |
| Judith M Nelson | Clinical Nurse Specialist | Central Minnesota Mental Health Center | 1321 13th N St, Saint Cloud, MN 56303-2613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene J Beniek | Clinical Social Worker | 32104 Stearns County Rd, Suite 1, St Cloud, MN 56303 | |
| Troy A Payne | Sleep Medicine | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Keith J Leavell | Critical Care (intensivists) | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Piyush Das | General Practice | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Paul M Wenner | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Deborah A Scattarelli | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Cathy S Klick | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Barbara A Carver | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Judith L Huber | Psychologist, Clinical | Catholic Charities of The Diocese of St Cloud | 911 - 18th St N, Saint Cloud, MN 56303-1203 |
| Find all physicians in zip 56303 | |||
| City | SAINT CLOUD |
| Zip Code | 56303 |
| Specialty | PSYCHIATRY |
| City + Specialty | SAINT CLOUD + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.