| Mr Nathaniel Stewart Jr, MA, LP | |
|
1535 Laurel Ave, Saint Paul, MN 55104-6739 | |
| (651) 645-0645 | |
| (651) 645-0630 |
| Full Name | Mr Nathaniel Stewart Jr |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Group Psychotherapy |
| Location | 1535 Laurel Ave, 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 |
|---|---|---|---|
| 1225199052 | NPI | - | NPPES |
| 62-73761 | Other | MN | MEDICA |
| 86656ST | Other | MN | BCBS |
| UCARE MN | Other | MN | 111770 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | LP2279 (Minnesota) | Primary |
| Entity Name | Psychology & Rehabilitation Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740417757 PECOS PAC ID: 0648707844 Enrollment ID: O20241230003213 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nathaniel Stewart Jr, MA, LP 1535 Laurel Ave, Saint Paul, MN 55104-6739 Ph: (651) 645-0645 | Mr Nathaniel Stewart Jr, MA, LP 1535 Laurel Ave, Saint Paul, MN 55104-6739 Ph: (651) 645-0645 |
Dr. Daniel Anthony Christensen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 5th St E, Suite 100, Saint Paul, MN 55101 Phone: 651-291-1979 | |
Mr. Paul Sterlacci, LIC. PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2375 University Ave W, Suite 160, Saint Paul, MN 55114 Phone: 651-642-1709 | |
Dr. Tamarind Knutson, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108 Phone: 651-646-8985 | |
Ishaq Mohamud Ali, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 938 Sixth Street, Saint Paul, MN 55106 Phone: 315-450-7121 | |
Abdinoor Abdullahi Hassan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th St E, Saint Paul, MN 55106 Phone: 315-450-7121 | |
Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540 | |
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176 |