Mary Sarafolean, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1558 Issued in MN

Practice address

1360 Energy Park Dr
Suite 340
Saint Paul, MN 55108-5276

Phone

(651) 646-8985

Fax

(651) 646-3959

NPI assigned

Oct 20, 2006

Last updated

Sep 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rosenberg Center Assessment and Treatment for Children & Families PA

  • Developmental Disabilities Clinic/Center
  • Roseville, MN
  • NPI 1033347331
  Medicare reassignment NPD
• Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1447369673
  NPD (past)
• River City Mental Health Clinic, P.a.

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1558348078
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1215019872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR",
            "address_2": "SUITE 340",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085276",
            "telephone_number": "651-646-8985",
            "fax_number": "651-646-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR",
            "address_2": "SUITE 340",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085276",
            "telephone_number": "651-646-8985",
            "fax_number": "651-646-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAFOLEAN",
        "first_name": "MARY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187250800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julian M Santos
• Justin James Santos, MD
• Sara Schmidt (Journey Mental Health, LLC)
• Sara Valentino PHD LLC (Sara Valentino)
• Jaskanwal Deep Singh Sara, MD
• Sarah C. Chambers, P.a. (Crocus Hill Health Center)
• Sarah Johnston LLC
• Sarah L. Hart, PH.D., LLC (Sarah L Hart, PhD, LP)
• Kelsi Sarbacker
• Stacy Sargent, RDN

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.