Individual provider Active NPI

Beverly Jean Schivone, L.P.

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1811170194
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP2990 Issued in MN
Practice address
1360 Energy Park Dr
Suite 350
Saint Paul, MN 55108-5276
Phone
(651) 646-7838
Fax
(651) 646-2402
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP2990 MN Primary

Addresses

Primary practice location

1360 Energy Park Dr
Suite 350
Saint Paul, MN 55108-5276

Mailing address

1360 Energy Park Dr
Suite 350
Saint Paul, MN 55108-5276
Phone (651) 646-7838

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

LicenseStateTypeSpecialty
LP2990MNMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1811170194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR",
            "address_2": "SUITE 350",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085276",
            "telephone_number": "651-646-7838",
            "fax_number": "651-646-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR",
            "address_2": "SUITE 350",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085276",
            "telephone_number": "651-646-7838",
            "fax_number": "651-646-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIVONE",
        "first_name": "BEVERLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP2990",
            "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 Dec 10, 2007; 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.