Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093794349 Individual Practitioner Male Practitioner

Dr. Michael David Brunner , PhD

Psychologist • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Brunner, PhD is a registered healthcare professional specializing in Psychologist in Saint Paul, MN. Practice services are available at 445 ETNA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

445 Etna St

Saint Paul, MN 551065857

Telephone 6512544804

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
194 Specialists

Practicing in Saint Paul, MN (1833 Statewide)

Telehealth Adoption Rate
16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP4417

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
175177800 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Sarah Licari , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1104456573

Licensed Alcohol and Drug Counselor

Stephanie Lund , LMFT

Marriage & Family Therapist

NPI 1578698338

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2017

Registered at 445 ETNA ST, SAINT PAUL, MN 551065857 (Tel: 6512544804)

📍
Updated Business Mailing Address May 12, 2017

Registered at 445 ETNA ST, SAINT PAUL, MN 551065857 (Tel: 6512544804)

👤
Provider Name / Credentials Updated May 12, 2017

Recorded as MICHAEL BRUNNER, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2017

Psychologist (License #LP4417 in MN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 404 W FOUNTAIN ST, ALBERT LEA, MN 560072437 (Tel: 5073732384)

📍
Updated Business Mailing Address July 08, 2007

Registered at 203 24TH ST SW, AUSTIN, MN 559124675 (Tel: 5074340913)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL BRUNNER, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP4417 in MN)

🟢
Initial NPI Registration & Enumeration January 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Michael Brunner. Be the first to share your experience!

Sign in to leave a review for Dr. Michael Brunner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093794349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2006
Last Update: May 12, 2017
Sole Proprietor: No

Mailing Address

445 Etna St

Saint Paul, MN 551065857

Phone: 6512544804

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.