DR. STEPHEN JOHN ANTONELLO PH.D.
NPI 1760548366
Psychologist - Clinical in West St Paul, MN

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 02, 2026.

About Dr. Stephen John Antonello Ph.d. NPPES

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

DR. STEPHEN JOHN ANTONELLO PH.D. (NPI 1760548366) is an individual clinical provider in West St Paul, Minnesota, licensed in Minnesota (LP1390) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1760548366
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STEPHEN JOHN ANTONELLOCredential: PH.D.
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
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 28, 2006
Last NPPES UpdateJanuary 30, 2017
NPI 1760548366 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

Other6119337Medica
Medicaid148547400MN
OtherP00393789Railroad Medicare Indiv#
OtherOE222ANMN · Bc Bs Individual Id
Medicare PIN680002243MN
Other103667MN · Ucare
OtherHP40542MN · Health Partners Individua

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen John Antonello Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072551266
PECOS Enrollment IDI20050419000649
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
706 services15 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 NPPES & CMS

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

What is Stephen Antonello's NPI number?

The NPI number for Stephen Antonello is 1760548366. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Stephen Antonello located?

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

What is Stephen Antonello's specialty?

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

Is Stephen Antonello enrolled in Medicare?

Yes. Stephen Antonello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Antonello accept?

Health plans from HealthPartners list Stephen Antonello 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 Antonello 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.