Active NPI
Patricia Anne Stankovitch, PSY.D., L.P
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1497904114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP4947
- Practice address
- 2136 Ford Pkwy
#200
Saint Paul, MN 55116-1863 - Phone
- (651) 739-6167
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP4947 | MN | Primary |
Addresses
Primary practice location
2136 Ford Pkwy
#200
Saint Paul, MN 55116-1863
Mailing address
2136 Ford Pkwy
#200
Saint Paul, MN 55116-1863
Phone (651) 739-6167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4947 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1497904114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 FORD PKWY",
"address_2": "#200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161863",
"telephone_number": "651-739-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 FORD PKWY",
"address_2": "#200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161863",
"telephone_number": "651-739-6167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKOVITCH",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PSY.D., L.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP4947",
"primary": true
}
],
"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 Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.