| Stone Creek Psychiatry, Llc | |
|
7945 Stone Creek Dr Suite 130 Chanhassen MN 55317-4605 | |
| (952) 241-4050 | |
| (952) 241-4049 |
| Full Name | Stone Creek Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7945 Stone Creek Dr, Chanhassen, Minnesota |
| Authorized Official Name and Position | Thomas Winegarden (OWNER) |
| Authorized Official Contact | 9522414050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Creek Psychiatry, Llc 7945 Stone Creek Dr Suite 130 Chanhassen MN 55317-4605 Ph: (952) 241-4050 | Stone Creek Psychiatry, Llc 7945 Stone Creek Dr Suite 130 Chanhassen MN 55317-4605 Ph: (952) 241-4050 |
| NPI Number | 1548534191 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 02/29/2012 |
| Medicare PECOS PAC ID | 2365608726 |
|---|---|
| Medicare Enrollment ID | O20120730000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548534191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Thomas C Winegarden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194707828 PECOS PAC ID: 5799733614 Enrollment ID: I20110523000028 |
| Provider Name | Michael C Keegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235561747 PECOS PAC ID: 6709012891 Enrollment ID: I20131120000096 |
| Provider Name | Molly J Stommes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811349004 PECOS PAC ID: 7517253263 Enrollment ID: I20160907001414 |
| Provider Name | Daniel Montville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952806093 PECOS PAC ID: 9830446756 Enrollment ID: I20190807000464 |
| Provider Name | Glen H Rebman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487181558 PECOS PAC ID: 4385998715 Enrollment ID: I20191107002271 |
| Provider Name | Alexandro Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619313103 PECOS PAC ID: 9133352115 Enrollment ID: I20201005001221 |
Jade Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W 78th St Ste 220a, Chanhassen, MN 55317 Phone: 612-327-7999 | |
Claire Debenedetto Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8593 Chanhassen Hills Dr S, Chanhassen, MN 55317 Phone: 612-208-3472 | |
Complementary Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2345 Stone Creek Ln W, Chanhassen, MN 55317 Phone: 612-203-5257 Fax: 952-470-5783 | |
Haven Mental Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Fox Hollow Dr, Chanhassen, MN 55317 Phone: 612-735-7602 | |
Starfish Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W 78th St, Suite 220a, Chanhassen, MN 55317 Phone: 612-567-4654 | |
Karissa Joy Godel, Ms, Lpcc, Ladc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7945 Stone Creek Dr, Ste 140, Chanhassen, MN 55317 Phone: 952-974-3999 Fax: 952-974-3780 |