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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: November 01, 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
Phone(651) 688-2335
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen J. Antonello, Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephen J. Antonello, Incorporated, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Antonello, PH.D.
Clinical Psychologist
NPI 1760548366
66 THOMPSON AVE E SUITE 102
West St Paul, MN 55118
(651) 688-2335
✔ PECOS✔ Accepts MedicareSame address

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

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 Stephen J. Antonello, Incorporated's NPI number?

The NPI number for Stephen J. Antonello, Incorporated is 1326147133. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Stephen J. Antonello, Incorporated located?

Stephen J. Antonello, Incorporated is located at 66 Thompson Ave E Suite 102, West St Paul, MN 55118. The listed phone number is (651) 688-2335.

What is Stephen J. Antonello, Incorporated's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stephen J. Antonello, Incorporated enrolled in Medicare?

Yes. Stephen J. Antonello, Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephen J. Antonello, Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Stephen J. Antonello, Incorporated. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stephen J. Antonello, Incorporated accept?

Health plans from HealthPartners list Stephen J. Antonello, Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen J. Antonello, Incorporated was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.