Individual provider Active NPI

Sharon Anne Stein McNamara, ED.D.

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1194849414
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP2991 Issued in MN
Practice address
4700 Lexington Ave N Ste B1A
Saint Paul, MN 55126-5867
Phone
(651) 698-1799
Fax
(651) 481-3209
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X LP2991 MN
Psychologist 103T00000X LP2991 MN Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X LP2991 MN
Clinical Child & Adolescent Psychologist 103TC2200X LP2991 MN

Addresses

Primary practice location

4700 Lexington Ave N Ste B1A
Saint Paul, MN 55126-5867

Mailing address

5563 Park Place Dr
Shoreview, MN 55126-9126
Phone (651) 698-1799

Other identifiers 4

IdentifierTypeStateIssuer
61-54388OtherMNMEDICA
789815100MedicaidMN
105050OtherMNUCARE
4H678STOtherMNBLUE CROSS

Other names 1

  • Dr. Sharon Anne Stein 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
I20040302000109 MN Practitioner - Clinical Psychologist 3577450923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4700 Lexington Ave N
Suite C
Shoreview, MN 55126-5964
Phone (651) 698-1799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP2991MNMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Stein McNamara Ed D Psychology Inc Psychologist CurrentSince Apr 1, 2000 Accepting new patients

Locations

4700 Lexington Ave N
Ste C
Shoreview, MN 55126
Phone (651) 317-9355

4700 Lexington Ave N
Ste B1A
Shoreview, MN 55126
Phone (651) 698-1799

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1194849414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 PARK PLACE DR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551269126",
            "telephone_number": "651-698-1799",
            "fax_number": "651-481-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LEXINGTON AVE N STE B1A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551265867",
            "telephone_number": "651-698-1799",
            "fax_number": "651-481-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "SHARON",
        "middle_name": "ANNE STEIN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "LP2991",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2991",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "LP2991",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP2991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "61-54388",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "789815100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "105050",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4H678ST",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "STEIN",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "ED.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.