Individual provider Active NPI

Sandra Germain Malone

  • Psychologist
  • St Anthony, MN
National Provider Identifier
1174645220
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3714 Issued in MN
Practice address
2714 Highway 88
Saint Anthony, MN 55418-3266
Phone
(612) 873-6963
NPI assigned
Apr 6, 2007
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3714 MN Primary

Addresses

Primary practice location

2714 Highway 88
Saint Anthony, MN 55418-3266

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000

Other names 1

  • Sandra Joan Germain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303002625 MN Practitioner - Clinical Psychologist 1759718703 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

2714 Hwy 88
St Anthony, MN 55418-3266
Phone (612) 873-6963

5653 Duluth St
Golden Valley, MN 55422-4054
Phone (612) 873-6963

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3714MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Fairview Express Care Current Accepting new patients
Allina Health System Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Jan 1, 2021 Accepting new patients
Healtheast St. John's Hospital CurrentSince Jan 1, 2021 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Healtheast Medical Research Institute Psychologist CurrentSince Jan 1, 2021 Accepting new patients
Minerva Center for Psychology PLLC CurrentSince Jun 1, 2024 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Feb 15, 2024 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2021 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Allina Health System CurrentSince Nov 8, 2021 Accepting new patients
Fairview Health Services CurrentSince Jan 22, 2020 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Feb 15, 2024 Accepting new patients
Oak Haven Counseling and Wellness LLC CurrentSince Jun 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2021 Accepting new patients
Allina Health System CurrentSince Nov 8, 2021 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

11185 Lake Blvd
Ste 205
Chisago City, MN 55013
Phone (218) 368-1187

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

7201 Metro Blvd
Ste 550
Minneapolis, MN 55439
Phone (612) 208-6807

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

2714 Highway 88
St Anthony Village, MN 55418
Phone (612) 873-7200

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: smalone568962@excellian.direct.allina.com

Organizations & group practices 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1174645220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 HIGHWAY 88",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554183266",
            "telephone_number": "612-873-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "SANDRA",
        "middle_name": "GERMAIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "3714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "GERMAIN",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Anthony, MN

Sources for this page

Verify at the official NPI Registry.