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 |