Active NPI
Sharon Stein McNamara Ed D Psychology Inc
- Psychologist
- Shoreview, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP2991
- Legal business name
- SHARON STEIN MCNAMARA ED D PSYCHOLOGY INC
- Practice address
- 4700 Lexington Ave N Ste B1A
Shoreview, MN 55126-5867 - Phone
- (651) 698-1799
- Fax
- (651) 481-3209
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sharon Stein McNamara, L.P.
- Title
- Licensed Psychologist
- Phone
- (651) 698-0038
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP2991 | MN | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | MN LP2991 | MN | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | MN LP2991 | MN | |
| Forensic Psychologist | 103TF0200X | MN LP2991 | MN |
Addresses
Primary practice location
4700 Lexington Ave N Ste B1A
Shoreview, MN 55126-5867
Mailing address
5563 Park Place Dr
Shoreview, MN 55126-9126
Phone (651) 698-0038
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105050 | Other | MN | UCARE ID NUMBER |
| 61-54388 | Other | MN | MEDICA, UBH |
| 4H679ST | Other | MN | BLUE CROSS OF MINNESOTA |
| 789815100 | Medicaid | MN |
Other names 1
- Sharon Stein McNamara, Ed.D.,Licensed Psychologist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1887 Grand Ave
Apt 10
Saint Paul, MN 55105
Phone (651) 698-1799
521 Tanglewood Dr
Ste 6
Shoreview, MN 55126
Phone (651) 698-1799
521 Tanglewood Dr
Ste 2
Shoreview, MN 55126
4700 Lexington Ave N
Ste C
Shoreview, MN 55126
Phone (651) 317-9355
4700 Lexington Ave N
Ste B1A
Shoreview, MN 55126
Phone (651) 698-1799
521 Tanglewood Dr
#2
Shoreview, MN 55126
Phone (651) 698-1799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Saint Paul, MN
- NPI 1194849414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592956800000",
"number": "1902902638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5563 PARK PLACE DR",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551269126",
"telephone_number": "651-698-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 LEXINGTON AVE N STE B1A",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551265867",
"telephone_number": "651-698-1799",
"fax_number": "651-481-3209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON STEIN MCNAMARA ED D PSYCHOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A",
"authorized_official_last_name": "MCNAMARA",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "STEIN",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "651-698-0038",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "L.P."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MN",
"license": "LP2991",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "MN LP2991",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MN",
"license": "MN LP2991",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "MN",
"license": "MN LP2991",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE ID NUMBER",
"identifier": "105050",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA, UBH",
"identifier": "61-54388",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MINNESOTA",
"identifier": "4H679ST",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "789815100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sharon Stein McNamara, Ed.D.,Licensed Psychologist",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Sharon Stein McNamara, Ed.D.,Licensed Psychologist",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shoreview, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.