Organization Active NPI

Sharon Stein McNamara Ed D Psychology Inc

  • Psychologist
  • Shoreview, MN
National Provider Identifier
1902902638
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP2991 Issued in MN
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

Updated by the provider on Jun 24, 2020

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP2991 MN Primary
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X MN LP2991 MN
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X MN LP2991 MN
Forensic PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
105050OtherMNUCARE ID NUMBER
61-54388OtherMNMEDICA, UBH
4H679STOtherMNBLUE CROSS OF MINNESOTA
789815100MedicaidMN

Other names 1

  • Sharon Stein McNamara, Ed.D.,Licensed Psychologist Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000133 MN Part B Supplier - Clinic/Group Practice 0042247942 Receives reassigned benefits from 1 practitioner
Practice locations: Shoreview, MN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.