STEPHEN J. ANTONELLO, INCORPORATED
NPI 1326147133
Psychologist - Clinical in West St Paul, MN

Active since September 21, 2006
66 THOMPSON AVE E, SUITE 102, WEST ST PAUL, MN 55118(651) 688-2335(651) 688-2669 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephen J. Antonello, Incorporated NPPES

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

STEPHEN J. ANTONELLO, INCORPORATED (NPI 1326147133) is a healthcare organization registered as a clinical in West St Paul, Minnesota and active in the NPI registry since September 2006. The organization lists Stephen John Antonello, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1326147133
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSTEPHEN J. ANTONELLO, INCORPORATED
Location Address66 THOMPSON AVE E, SUITE 102West St Paul, MN 55118-3184
Mailing Address825 Deer Trail PtMendota Heights, MN 55118-2750 · (651) 688-2335 · Fax (651) 688-2669
Fax(651) 688-2669
Organization SubpartNo
Authorized OfficialStephen John AntonelloLicensed Psychologist · (651) 688-2335
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 30, 2017
NPI 1326147133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP1390
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

66 THOMPSON AVE E, West St Paul, MN 55118

Other Identifiers 7

Other73464MN · Health Partners Group
Medicaid760249900MN
Medicare PINC04462MN
Other103667MN · Ucare
Other6119337Medica
OtherDF8617Railroad Medicare Grp Id
Other59778ANMN · Bc Bs Group Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
66 THOMPSON AVE E, SUITE 102
WEST ST PAUL, MN 55118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326147133, enumerated as an "organization" on September 21, 2006.

The provider is located at 66 THOMPSON AVE E SUITE 102 WEST ST PAUL, MN 55118 and the phone number is (651) 688-2335.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: HealthPartners, Medicare, Medicaid, Medica Health. Please consult your insurance carrier or call the provider to verify.