Emma Gannon
Individual provider Active NPI School Psychologist · Circle Pines, MN
NPI 1083569016 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1083569016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 4707 North Rd
Circle Pines, MN 55014-1545 - Phone
- (763) 792-6000
- NPI assigned
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial School District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | MN | Yes |
Addresses
Primary practice location
4707 North Rd
Circle Pines, MN 55014-1545
Mailing address
4707 North Rd
Circle Pines, MN 55014-1545
Phone (763) 792-6000
Other providers in Circle Pines, MN
- Hoda M Fahim
- Stephanie Fenno
- Sara Fenstermacher
- Kristi Ann Fickes
- Peter Freeborn
- Nicole Garofalo
- Glen Oaks Dental PLLP
- Green Bird Counseling
- Kelsi Gruber Kellerhuis
- Sara Marie Haglin
All providers in Circle Pines, MN · School Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.