Stacy Coleman Symons, PH.D., LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4460 Issued in MN

Practice address

7582 Currell Blvd Ste 108
Saint Paul, MN 55125-8210

Phone

(651) 261-6983

NPI assigned

Aug 23, 2011

Last updated

Aug 14, 2013By 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

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Care Services, PAGroup PAC ID 5890865463, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Medical Care Services, PA

  • Family Medicine Physician
  • New Brighton, MN
  • NPI 1083778708
  Medicare reassignment Care Compare group NPD
• Health and Wellness Collaborative

  • Clinical Psychologist
  • New Brighton, MN
  • NPI 1548822943
  NPD
• Counseling Psychologists of Woodbury, P.a.

  dba Counseling Psychologists of St. Paul

  • Psychologist
  • Woodbury, MN
  • NPI 1659301398
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1770863607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161917",
            "telephone_number": "651-261-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD STE 108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551258210",
            "telephone_number": "651-261-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMONS",
        "first_name": "STACY",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "4460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran S Syed, M.D.
• Mohammad Abbas Syed, MD
• Uthaithip Tip Sylaphet
• Marc Edmond Sylvestre, D.C.
• Hillary Beth Syman, PSYD
• Sympathy Home Health Care Inc
• Synergy Treatment Center, LLC
• Lyndsey Ann Sypherd, PA-C
• Khom Sysavath
• Katherine Sytniak, MOT, OTR/L

• 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 Aug 14, 2013; 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.