Diane Stellrecht & Assoc Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1130 Issued in MN

Legal business name

DIANE STELLRECHT & ASSOC INC

Practice address

570 Ashbury St
Suite 300
St Paul, MN 55104

Phone

(651) 699-7050

Fax

(651) 699-8698

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Diane Louise Stellrecht, MS

Title

President

Phone

(651) 699-7050

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Stellrecht Clinic Doing business as

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609939388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 ASHBURY ST",
            "address_2": "SUITE 300",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-699-7050",
            "fax_number": "651-699-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ASHBURY ST",
            "address_2": "SUITE 300",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-699-7050",
            "fax_number": "651-699-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE STELLRECHT & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STELLRECHT",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-699-7050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP37858",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6119335",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28682ST",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellrecht Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristie M Dezell, PHARMD
• Ladane Hassan Dhoore
• Boubacar Diop Diagne
• Dialog One, LLC
• Diamond Adult Day Services LLC
• Dianne L. Meixner Psychotherapy P.a.
• Neri Rafael Diaz - Orellana, LGSW
• Jeffery R Dichter, MD
• Linda Louise Dick-Olson, LICSW
• Amy Marie Dickerson, ATR

• Clinical Psychologist in St Paul, MN
• Providers in St Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.