Organization Active NPI

Sheehan Psychological Services

  • Counseling Psychologist
  • Stillwater, MN
National Provider Identifier
1871894931
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP1733 Issued in MN
Legal business name
SHEEHAN PSYCHOLOGICAL SERVICES
Practice address
6381 Osgood Ave N
Stillwater, MN 55082-6118
Phone
(651) 235-6665
Fax
(651) 275-1198
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Ms. Colleen Lucille Sheehan Blocher, M.A.
Title
Licensed Psychologist
Phone
(651) 235-6665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X LP1733 MN Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 690 MN

Addresses

Primary practice location

6381 Osgood Ave N
Stillwater, MN 55082-6118

Mailing address

518 4TH St S
Stillwater, MN 55082-4913
Phone (651) 235-6665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1871894931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 4TH ST S",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824913",
            "telephone_number": "651-235-6665",
            "fax_number": "651-275-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6381 OSGOOD AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826118",
            "telephone_number": "651-235-6665",
            "fax_number": "651-275-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEHAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN BLOCHER",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-235-6665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP1733",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.