Ellen N Garbo, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

43151 Issued in MN

Practice address

45 10TH St W
Saint Paul, MN 55102-1062

Phone

(651) 232-3640

Fax

(651) 232-3632

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yelena N Garbouzova Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Life Medical PAGroup PAC ID 6204938350, 8 clinicians

Minnesota Medical and Rehabilitative Services LLCGroup PAC ID 6406764703, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minnesota Medical and Rehabilitative Services, LLC

  • Physical Therapist
  • St. Louis Park, MN
  • NPI 1154302545
  Medicare reassignment Care Compare group NPD
• Life Medical, P.a.

  • Multi-Specialty Clinic/Center
  • Saint Louis Park, MN
  • NPI 1740222496
  Medicare reassignment Care Compare group
• Fairview Bethesda Hospital

  • Long Term Care Hospital
  • Saint Paul, MN
  • NPI 1194787465
  Medicare reassignment NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  Medicare reassignment NPD
• Healtheast St. John'S Hospital

  • General Acute Care Hospital
  • Maplewood, MN
  • NPI 1447218482
  Medicare reassignment NPD
• Healtheast Woodwinds Hospital

  • General Acute Care Hospital
  • Woodbury, MN
  • NPI 1356309322
  Medicare reassignment NPD
• Healtheast Care System

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1548595218
  NPD
• Healtheast Medical Research Institute

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552
  NPD
• Hennepin Faculty Associates

  • Durable Medical Equipment & Medical Supplies
  • Minneapolis, MN
  • NPI 1932274164
  NPD (past)
• Primary Care & Rehabilitation Clinics, Inc.

  • Multi-Specialty Clinic/Center
  • St Louis Park, MN
  • NPI 1306842547
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1043265689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 10TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021062",
            "telephone_number": "651-232-3640",
            "fax_number": "651-232-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 10TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021062",
            "telephone_number": "651-232-3640",
            "fax_number": "651-232-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBO",
        "first_name": "ELLEN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "43151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105102400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "GARBOUZOVA",
            "middle_name": "N",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert A Ganz, MD
• Mengze Gao, PSYD LP
• Wangcai Gao, M.D.
• Leah Marsot Gapinski, M.D.
• Siham Garad
• Christopher Edward Cantoria Garces, MD
• Maria Jose Garcia Ortega, BCBA
• Garcia Services LLC
• Gonzalo Garcia-Olmos
• Briana Garcia-Saldana

• Psychiatry Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.