Active NPI
Sean David McEwen, B.S.
- Psychologist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP6740
- Practice address
- 1021 Bandana Blvd E Ste 100
Saint Paul, MN 55108-5109 - Phone
- (651) 241-9700
- NPI assigned
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP6740 | MN | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1021 Bandana Blvd E Ste 100
Saint Paul, MN 55108-5109
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Other practice location 1
1411 SW Morrison St Ste 310
Portland, OR 97205-1945
Phone (503) 352-2400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1021 Bandana Blvd E
Suite 100
St Paul, MN 55108-5109
Phone (651) 241-9700
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Oliver Ross Psychology and Consulting LLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Reclaim | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
1595 Selby Ave
Ste 112
Saint Paul, MN 55104
Phone (612) 206-1259
1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533
771 Raymond Ave
Saint Paul, MN 55114
Phone (612) 235-6743
Interoperability endpoints
- smcewen639554@excellian.direct.allina.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Group Psychotherapy Psychologist
- Saint Paul, MN
- NPI 1689030231
-
- Acupuncturist
- Buffalo, MN
- NPI 1912445081
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Paul, MN
- NPI 1811129430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1437586492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 BANDANA BLVD E STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085109",
"telephone_number": "651-241-9700"
}
],
"practiceLocations": [
{
"address_1": "1411 SW Morrison St Ste 310",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972051945",
"country_code": "US",
"telephone_number": "503-352-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCEWEN",
"first_name": "SEAN",
"middle_name": "DAVID",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-03",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP6740",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.