St. Croix Psychological Clinic

Primary specialty

PsychologistTaxonomy code 103T00000X

License

371-057 Issued in WI

Legal business name

ST. CROIX PSYCHOLOGICAL CLINIC

Practice address

258 Riverside Dr
River Falls, WI 54022-3236

Phone

(715) 425-7031

Fax

(715) 425-1055

NPI assigned

Dec 18, 2007

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John B. Hamann, ED.DNPI 1427168079

Title

Wi Lic. Psychologist

Phone

(715) 425-7031

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John B Hamann, ED D

  • Clinical Child & Adolescent Psychologist
  • River Falls, WI
  • NPI 1427168079
  NPD (past) Authorized official
• Stephanie Hamann

  • Mental Health Counselor
  • River Falls, WI
  • NPI 1235249848
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1912181538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540220425",
            "telephone_number": "715-425-7031",
            "fax_number": "715-425-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 RIVERSIDE DR",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223236",
            "telephone_number": "715-425-7031",
            "fax_number": "715-425-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX PSYCHOLOGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "HAMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "WI LIC. PSYCHOLOGIST",
        "authorized_official_telephone_number": "715-425-7031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "371-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427168079",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39062200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Sonday, LAT
• Alyssa Spado, SAC-IT
• Speech Remedies LLC
• Brian Sprague, LPCC, LADC, ICS, LPC
• St. Croix Orthopaedics, P.a.
• St. Croix Valley Restorative Justice Program, Inc.
• St. Croix Valley Restorative Services, Inc.
• Joseph Warin Stamets, D.D.S.
• Sophia Steinberg
• Timothy F. Steinmetz, M.D.

• Psychologist in River Falls, WI
• Providers in River Falls, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.