Sean Hearn MD LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

35931 Issued in MN

Legal business name

SEAN HEARN MD LLC

Practice address

5 Metate Dr
Sandia Park, NM 87047-8508

Phone

(651) 246-8126

NPI assigned

May 14, 2014

Last updated

Aug 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Timothy Hearn, M.D.NPI 1477516425

Title

Family Medicine/ Psychoanalyst

Phone

(651) 246-8126

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean T Hearn, MD

  • Family Medicine Physician
  • Saint Paul, MN
  • NPI 1477516425

  NM

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1689085466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 METATE DR",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "870478508",
            "telephone_number": "651-246-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 METATE DR",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "870478508",
            "telephone_number": "651-246-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN HEARN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "FAMILY MEDICINE/ PSYCHOANALYST",
        "authorized_official_telephone_number": "651-246-8126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "35931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarahjane Novak
• Roxanne Michelle Parker, OTL/R
• Nina Pregont, D.N.
• Marisa Elizabeth Rivera
• Pamela Rothe, RN, BSN
• Heather Smith
• Kristy R Staten, O.T.
• Support Is Apparent, LLC
• Mark Richard Swinney, CSB
• Theraplay

• Adult Mental Health Clinic/Center in Sandia Park, NM
• Providers in Sandia Park, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.