Organization Active NPI

Dr. Sharon Mahowald-Horner, PLLC

  • Clinical Psychologist
  • Savage, MN
National Provider Identifier
1912625583
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. SHARON MAHOWALD-HORNER, PLLC
Practice address
9337 Woodridge Cir
Savage, MN 55378-3153
Phone
(952) 210-0681
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Sharon Beth Mahowald-Horner, PSYDNPI 1699439471
Title
Owner/Clinical Psychologist
Phone
(952) 395-1483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9337 Woodridge Cir
Savage, MN 55378-3153

Mailing address

9337 Woodridge Cir
Savage, MN 55378-3153
Phone (952) 210-0681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220915002571 MN Part B Supplier - Clinic/Group Practice 7911382676 Receives reassigned benefits from 1 practitioner
Practice locations: Savage, MN

National Provider Directory

National Provider Directory

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": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1912625583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337 WOODRIDGE CIR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553783153",
            "telephone_number": "952-210-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9337 WOODRIDGE CIR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553783153",
            "telephone_number": "952-210-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHARON MAHOWALD-HORNER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "MAHOWALD-HORNER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "952-395-1483",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.