| Hamm Clinic | |
|
408 Saint Peter St Ste 429 Saint Paul MN 55102-1130 | |
| (651) 224-0614 | |
| (651) 224-5754 |
| Full Name | Hamm Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 408 Saint Peter St, Saint Paul, Minnesota |
| Authorized Official Name and Position | Mary Ellen Jaehne (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6512240614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamm Clinic 408 Saint Peter St Ste 429 Saint Paul MN 55102-1130 Ph: (651) 224-0614 | Hamm Clinic 408 Saint Peter St Ste 429 Saint Paul MN 55102-1130 Ph: (651) 224-0614 |
| NPI Number | 1609876051 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426000340 |
|---|---|
| Medicare Enrollment ID | O20050218000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609876051 | NPI | - | NPPES |
| 23328HA | Other | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 800960-1-MHC (Minnesota) | Primary |
| Provider Name | Toni R Magnuson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649462185 PECOS PAC ID: 6103873880 Enrollment ID: I20050405000604 |
| Provider Name | Buddy Wayne Lile |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104858612 PECOS PAC ID: 4587658893 Enrollment ID: I20070316000218 |
| Provider Name | Mary E Androff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073702775 PECOS PAC ID: 5799875217 Enrollment ID: I20071220000044 |
| Provider Name | Susan P Sethna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770582652 PECOS PAC ID: 8527251321 Enrollment ID: I20101025001415 |
| Provider Name | Rachel E Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578562716 PECOS PAC ID: 7517151053 Enrollment ID: I20101028001529 |
| Provider Name | Yvonne F Nobles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659371318 PECOS PAC ID: 3779764501 Enrollment ID: I20110225000708 |
| Provider Name | Anesh S Patel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467874495 PECOS PAC ID: 7315177516 Enrollment ID: I20140310001093 |
| Provider Name | Kathryn R Brush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972909760 PECOS PAC ID: 5395060461 Enrollment ID: I20150212000493 |
| Provider Name | Annelise J Herskowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699182451 PECOS PAC ID: 0547513731 Enrollment ID: I20181106001334 |
| Provider Name | Kyle P Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720594187 PECOS PAC ID: 5092056614 Enrollment ID: I20190409001891 |
| Provider Name | Sean J Fields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730652173 PECOS PAC ID: 7517209349 Enrollment ID: I20190429000063 |
| Provider Name | Rosemary Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760587893 PECOS PAC ID: 5890037113 Enrollment ID: I20190506002565 |
| Provider Name | Lauren Scholder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053881698 PECOS PAC ID: 7315280765 Enrollment ID: I20190528002104 |
| Provider Name | Susan I Jasko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881829984 PECOS PAC ID: 9638500036 Enrollment ID: I20200520000355 |
| Provider Name | Mia R Wintheiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871851899 PECOS PAC ID: 5395043236 Enrollment ID: I20200526001616 |
| Provider Name | Janet Finlayson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871171744 PECOS PAC ID: 2062811672 Enrollment ID: I20210602001991 |
| Provider Name | Natalie Taber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053947077 PECOS PAC ID: 3375934011 Enrollment ID: I20220106001849 |
| Provider Name | Stella Chemarum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447821137 PECOS PAC ID: 3274907399 Enrollment ID: I20230313001069 |
| Provider Name | Mary A Gossett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326521337 PECOS PAC ID: 2769852375 Enrollment ID: I20230316002719 |
| Provider Name | Ivy Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376295436 PECOS PAC ID: 1052786571 Enrollment ID: I20230413002055 |
| Provider Name | Theresa Glaser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154452977 PECOS PAC ID: 4880058320 Enrollment ID: I20230915002590 |
| Provider Name | Tera Meerkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114446150 PECOS PAC ID: 3870948284 Enrollment ID: I20231004002785 |
| Provider Name | Jade Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356753305 PECOS PAC ID: 6002255601 Enrollment ID: I20240416001034 |
| Provider Name | Huda Badri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902389455 PECOS PAC ID: 6204274723 Enrollment ID: I20240417002377 |
| Provider Name | Lucille Erickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508323544 PECOS PAC ID: 9830538057 Enrollment ID: I20240419001920 |
| Provider Name | Dorothee Tshiela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992251151 PECOS PAC ID: 4981043171 Enrollment ID: I20240422000419 |
Charles Mccafferty, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 977 Summit Ave, Saint Paul, MN 55105 Phone: 651-227-6369 Fax: 651-227-9545 | |
Healtheast St Josephs Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 10th St W, Saint Paul, MN 55102 Phone: 651-232-3000 | |
Therapy World Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 Dunlap St N Ste 861, Saint Paul, MN 55104 Phone: 651-347-8037 Fax: 651-340-4552 | |
Tanglefish Emotional Healing Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 821 Raymond Ave Ste 300, Saint Paul, MN 55114 Phone: 612-213-4510 Fax: 612-361-5464 | |
Persevere Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Payne Ave, Saint Paul, MN 55130 Phone: 651-376-9427 | |
Harmony Mental Health Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2136 Ford Pkwy # 5609, Saint Paul, MN 55116 Phone: 651-273-9074 Fax: 651-240-6036 | |
Comfort Health Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2554 Como Ave Ste 6, Saint Paul, MN 55108 Phone: 651-363-6866 |