| Thomas A Deboer, PSYD | |
|
3301 7th Ave, Anoka, MN 55303-4516 | |
| (651) 417-1605 | |
| Not Available |
| Full Name | Thomas A Deboer |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 9 Years |
| Location | 3301 7th Ave, Anoka, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316583909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP6853 (Minnesota) | Primary |
| 103T00000X | Psychologist | 3612-57 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Life Inc | 8123433034 | 113 |
| Entity Name | Anoka Metro Regional Treatment Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275585564 PECOS PAC ID: 9335135375 Enrollment ID: O20040423000711 |
| Entity Name | Total Life Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20240213001834 |
| Entity Name | Total Life FL PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447057286 PECOS PAC ID: 7517465354 Enrollment ID: O20250811001933 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A Deboer, PSYD 3301 7th Ave, Anoka, MN 55303-4516 Ph: (651) 417-1605 | Thomas A Deboer, PSYD 3301 7th Ave, Anoka, MN 55303-4516 Ph: (651) 417-1605 |
Mr. John Edward Baumgart, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Norwood Ave, Anoka, MN 55303 Phone: 763-422-4170 |
Erin Ausman, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3301 7th Ave, Anoka, MN 55303 Phone: 651-431-5113 |
Ms. Ann E. Zaiser, M.S. LP Psychologist Medicare: Medicare Enrolled Practice Location: 316 E Main St, Anoka, MN 55303 Phone: 763-427-2864 Fax: 763-427-2864 |
Suzanne Kelly, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2727 N Ferry St, Anoka, MN 55303 Phone: 763-506-1000 |
Dr. Naomi Nystrom, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: Psychology - Building A, 3301 7th Ave. N., Anoka, MN 55303 Phone: 651-242-8330 |
Mrs. Tanya Lyn Sommerfeld, M.A., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 East Main Street Suite 200, South Metro Human Services, Anoka, MN 55303 Phone: 763-201-8065 Fax: 763-712-5588 |
Mr. Jeffrey Thomas Doheny, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2006 1st Ave, Suite 207, Anoka, MN 55303 Phone: 763-421-5535 Fax: 763-433-0226 |