| Robert J Sevenich M.d.,j.d.,p.a. | |
|
1714 Howard St N Maplewood MN 55109-4842 | |
| (612) 509-5522 | |
| (651) 414-0279 |
| Full Name | Robert J Sevenich M.d.,j.d.,p.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1714 Howard St N, Maplewood, Minnesota |
| Authorized Official Name and Position | Rachel Polski (OFFICE MANAGER) |
| Authorized Official Contact | 6514448512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Sevenich M.d.,j.d.,p.a. 855 Village Center Dr Ste 181 North Oaks MN 55127-3016 Ph: (651) 444-8512 | Robert J Sevenich M.d.,j.d.,p.a. 1714 Howard St N Maplewood MN 55109-4842 Ph: (612) 509-5522 |
| NPI Number | 1255573358 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 03/29/2021 |
| Certification Date | 02/16/2021 |
| Medicare PECOS PAC ID | 1254480882 |
|---|---|
| Medicare Enrollment ID | O20090601000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255573358 | NPI | - | NPPES |
| 903318100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert J Sevenich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801856307 PECOS PAC ID: 5395789150 Enrollment ID: I20050614000188 |
Clayton D. Sankey Licsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2127 County Road D E Ste A100, Maplewood, MN 55109 Phone: 651-770-0355 Fax: 651-770-0529 | |
Northeast Counseling, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2127 County Road D E Ste A100, Maplewood, MN 55109 Phone: 651-592-1592 Fax: 651-429-2988 | |
Novo Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 720 Viking Dr E, Maplewood, MN 55117 Phone: 612-710-9297 | |
Modern Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 Frost Ave, Maplewood, MN 55109 Phone: 651-363-8418 | |
Maplewood Wellness Center Of Minnesota Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste A, Maplewood, MN 55109 Phone: 651-329-1266 | |
Anchor And Bloom Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2395 Ariel St N, Maplewood, MN 55109 Phone: 651-650-2533 | |
Essential Care Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1983 Sloan Pl Ste 16, Maplewood, MN 55117 Phone: 612-607-9414 |