MARY SARAFOLEAN PHD
NPI 1215019872
Psychologist in Saint Paul, MN

Active since October 20, 2006PECOS Enrolled
1360 ENERGY PARK DR, SUITE 340, SAINT PAUL, MN 55108(651) 646-8985(651) 646-3959 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Sarafolean Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SARAFOLEAN PHD (NPI 1215019872) is an individual psychologist in Saint Paul, Minnesota, licensed in Minnesota (LP1558) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1215019872
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY SARAFOLEANCredential: PHD
Location Address1360 ENERGY PARK DR, SUITE 340Saint Paul, MN 55108-5276
Mailing Address1360 Energy Park Dr, Suite 340Saint Paul, MN 55108-5276 · (651) 646-8985 · Fax (651) 646-3959
Fax(651) 646-3959
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 20, 2006
Last NPPES UpdateSeptember 18, 2008
✔ NPI 1215019872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP1558
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1360 ENERGY PARK DR, Saint Paul, MN 55108

Other Identifiers 2

Medicare ID-Type Unspecified680002079
Medicaid187250800MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Sarafolean Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517980998
PECOS Enrollment IDI20060111001113
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Sarafolean reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Developmental Disabilities
1935 COUNTRY ROAD B2 WEST, SUITE 100
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1360 ENERGY PARK DR, #104
ST PAUL, MN 55108
Counselor (Professional)
1360 ENERGY PARK DR, SUITE 340
SAINT PAUL, MN 55108
Dentist (General Practice)
1360 ENERGY PARK DR, SUITE 140
SAINT PAUL, MN 55108
Social Worker (Clinical)
1360 ENERGY PARK DR, SUITE 340
SAINT PAUL, MN 55108
Psychologist (Clinical)
1360 ENERGY PARK DR, SUITE 340
SAINT PAUL, MN 55108
Psychologist (Clinical)
1360 ENERGY PARK DR, SUITE 340
SAINT PAUL, MN 55108
Psychologist (Adult Development & Aging)
1360 ENERGY PARK DR
SAINT PAUL, MN 55108
Psychologist
1360 ENERGY PARK DR, SUITE 340
SAINT PAUL, MN 55108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Sarafolean's NPI number?

The NPI number for Mary Sarafolean is 1215019872. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Mary Sarafolean located?

Mary Sarafolean practices at 1360 Energy Park Dr Suite 340, Saint Paul, MN 55108. The listed phone number is (651) 646-8985.

What is Mary Sarafolean's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mary Sarafolean enrolled in Medicare?

Yes. Mary Sarafolean is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Sarafolean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Sarafolean reassigns Medicare benefits to Rosenberg Center Assessment And Treatment For Children & Families PA (Roseville, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Sarafolean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Sarafolean was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.