Dr Stephen John Antonello, PHD | |
66 Thompson Ave E, Suite 102, West St Paul, MN 55118-3184 | |
(651) 688-2335 | |
(651) 688-2669 |
Full Name | Dr Stephen John Antonello |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 38 Years |
Location | 66 Thompson Ave E, West St Paul, 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 |
---|---|---|---|
1760548366 | NPI | - | NPPES |
103667 | Other | MN | UCARE |
148547400 | Medicaid | MN | |
P00393789 | Other | RAILROAD MEDICARE INDIV# | |
6119337 | Other | MEDICA | |
OE222AN | Other | MN | BC BS INDIVIDUAL ID |
HP40542 | Other | MN | HEALTH PARTNERS INDIVIDUA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP1390 (Minnesota) | Primary |
Entity Name | Stephen J. Antonello, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326147133 PECOS PAC ID: 4183638778 Enrollment ID: O20070223000206 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen John Antonello, PHD 825 Deer Trail Pt, Mendota Heights, MN 55118-2750 Ph: (651) 688-2335 | Dr Stephen John Antonello, PHD 66 Thompson Ave E, Suite 102, West St Paul, MN 55118-3184 Ph: (651) 688-2335 |
Dr. Peter Andrew Lynn, PH.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 149 Thompson Ave E Ste 150, West St Paul, MN 55118 Phone: 651-450-0860 Fax: 651-450-0759 | |
Dr. Judy Lee Antonello, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 260 Wentworth Ave E # 124, West St Paul, MN 55118 Phone: 651-688-2335 Fax: 651-688-2669 | |
Teresa Catherine Markes, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 149 Thompson Ave E Ste 150, West St Paul, MN 55118 Phone: 651-450-0860 Fax: 651-450-0759 | |
Michael R Hamberg, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Mendota Rd W, West St Paul, MN 55118 Phone: 651-554-6310 Fax: 651-554-6043 |