Active NPI
Laura Stephan, PSYD, LP
- Psychologist
- Saint Paul, MN
National Provider Identifier
1831566991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 475 Cleveland Ave N Ste 311
Saint Paul, MN 55104-5053 - Phone
- (651) 728-4500
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
475 Cleveland Ave N Ste 311
Saint Paul, MN 55104-5053
Mailing address
475 Cleveland Ave N Ste 311
Saint Paul, MN 55104-5053
Phone (651) 728-4500
Other practice location 1
900 Long Lake Rd
Suite 160
New Brighton, MN 55112-6428
Phone (651) 424-4794
Other names 1
- Laura Sturm
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 21, 2023 through Aug 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott M Yarosh, LLC | Current | Accepting new patients | |
| Health and Wellness Collaborative | Current | Accepting new patients |
Locations
11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828
900 Long Lake Rd
Ste 160
Saint Paul, MN 55112
Phone (612) 706-9630
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- New Brighton, MN
- NPI 1548822943
-
- Mental Health Counselor
- Saint Paul, MN
- NPI 1144543265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1831566991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 CLEVELAND AVE N STE 311",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045053",
"telephone_number": "651-728-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 CLEVELAND AVE N STE 311",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045053",
"telephone_number": "651-728-4500"
}
],
"practiceLocations": [
{
"address_1": "900 Long Lake Rd",
"address_2": "Suite 160",
"address_purpose": "LOCATION",
"city": "New Brighton",
"state": "MN",
"postal_code": "551126428",
"country_code": "US",
"telephone_number": "651-424-4794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHAN",
"first_name": "LAURA",
"credential": "PSYD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "STURM",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.