| Tai J Mendenhall, LMFT, PHD | |
|
1414 Maryland Ave E, Saint Paul, MN 55106-2824 | |
| (651) 772-3461 | |
| (651) 772-2605 |
| Full Name | Tai J Mendenhall |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1414 Maryland Ave E, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346356938 | NPI | - | NPPES |
| 1042738 | Other | MN | PREFERRED ONE |
| 124040 | Other | MN | UCARE |
| 270K3ME | Other | MN | BCBS MN NUMBER |
| 62-53752 | Other | MN | UBH/MEDICA NUMBER |
| 026 | Other | MN | TRIWEST |
| HP42677 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1318 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Tai J Mendenhall, LMFT, PHD 1414 Maryland Ave E, Saint Paul, MN 55106-2824 Ph: (651) 772-3461 | Tai J Mendenhall, LMFT, PHD 1414 Maryland Ave E, Saint Paul, MN 55106-2824 Ph: (651) 772-3461 |
Mrs. Melissa Lea Urbanek, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2550 University Ave W, Ste 435 S, Saint Paul, MN 55114 Phone: 651-647-1900 Fax: 651-647-1861 | |
Erin Morgan, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 970 Raymond Ave Ste 106, Saint Paul, MN 55114 Phone: 612-208-8870 | |
Mai Bao Xiong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995 | |
Sarah Lindsey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1114 Grand Ave, Saint Paul, MN 55105 Phone: 612-229-9188 | |
Linnea Mccosh, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 888-364-5977 | |
Nicole Ross, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 740 York Ave, Saint Paul, MN 55106 Phone: 651-793-7367 | |
Megan Jean Boom Shedlock, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127 Phone: 651-289-9385 Fax: 651-289-3113 |