NPI

Stephen John Antonello

NPI 1760548366

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
Ph.D.
Type
Individual
Enumeration date
2006-12-28
Last updated
2017-01-30

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Specialties

Licenses

License MN
LP1390

Location

Practice location
66 Thompson Ave E, Suite 102
City
West St Paul MN
Postal code
55118-3184
Phone
(651) 688-2335
Fax
(651) 688-2669

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Clinical Psychologists in West St Paul, MN. 7 with this primary taxonomy in the public file.

Other NPIs in West St Paul, MN. 237 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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