Michael V. Desanctis, PHD, Abpp, Licensed Psychologist PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1395 Issued in MN

Legal business name

MICHAEL V. DESANCTIS, PHD, ABPP, LICENSED PSYCHOLOGIST PLLC

Practice address

413 Wacouta St Ste 550
Saint Paul, MN 55101-1645

Phone

(651) 225-9222

Fax

(651) 225-9224

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Vito Desanctis, PHD

Title

Licensed Psychologist

Phone

(651) 225-9222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1780992479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 WACOUTA ST STE 550",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011645",
            "telephone_number": "651-225-9222",
            "fax_number": "651-225-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 WACOUTA ST STE 550",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011645",
            "telephone_number": "651-225-9222",
            "fax_number": "651-225-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL V. DESANCTIS, PHD, ABPP, LICENSED PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "DESANCTIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VITO",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-225-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA HEALTH CARE",
            "identifier": "261348400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pei Mi, M.D, PH.D, MPH
• Michael a. Kurkowski, PA
• Michael Dixon Chiropractic, PA
• Michael J Miller Consulting LLC
• Michael L. Maristuen D.C., P.a.
• Abigail Rebekah Michael, RN, BSN, PHN
• Amanda Michaelson, PHARMD
• Alyssa Michaletz
• Benjamin Michalicek, OD
• Michael Gregory Michalik, MD

• Counseling Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.