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Shereen M O'malley , MA, LP

Psychologist β€’ Andover, MN

Active NPI 1760439327 Individual Practitioner Female Practitioner
Practice location in NPPES

1875 Station Parkwaynw
Andover, MN 553041719

Call 7634829598 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1875 Station Parkwaynw

Andover, MN 553041719

Telephone 7634829598
Organization at the Same NPPES Address or Phone
Rum River Counseling, Inc. Facility NPI 1073578472

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shereen O'Malley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shereen O'Malley as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Andover and Minnesota

3 active clinicians are listed under Psychologist with a practice address in Andover, MN (1,694 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MN LP 4846

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
519252800 (MN)
Other Identifier Ucare
101760 (MN)
Other Identifier Health Partners
HP18900 (MN)
Other Identifier Preferred One
990991000633 (MN)
Other Identifier Bcbs
483P10M (MN)
Other Identifier Medica
62-02122 (MN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240411001270

Enrollment State Jurisdiction

MN

PECOS Control ID

8527402114

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Cherise Haugen , MSW, LICSW

Social Worker - Clinical

NPI 1689077935

Master of Social Work, Licensed Independent Clinical Social Worker

Lynn Heidemann , LICSW

Social Worker - Clinical

NPI 1285970004

Licensed Independent Clinical Social Worker

Jennifer Vlach , LICSW

Social Worker - Clinical

NPI 1184692949

Licensed Independent Clinical Social Worker

Brittney Wacek

Social Worker - Clinical

NPI 1265058721

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 17, 2018

Registered at 1875 STATION PARKWAYNW, ANDOVER, MN 553041719 (Tel: 7634829598)

πŸ“
Updated Business Mailing Address August 17, 2018

Registered at 1875 STATION PARKWAYNW, ANDOVER, MN 553041719

βœ…
NPI Profile Active August 15, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 15, 2008

Registered at 715 FLORIDA AVE S, SUITE 307, ST LOUIS PARK, MN 554261719 (Tel: 9525446806)

πŸ“
Business Mailing Address (Initial Record) August 15, 2008

Registered at 715 FLORIDA AVE S, SUITE 307, ST LOUIS PARK, MN 554261719 (Tel: 9525446806)

πŸ‘€
Provider Name / Credentials (Initial Record) August 15, 2008

Recorded as SHEREEN O'MALLEY, MA, LP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2008

Psychologist (license number reported to NPPES: MN LP 4846)

🟒
Initial NPI Registration & Enumeration May 28, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760439327
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2006
Last Update: August 17, 2018
Sole Proprietor: No

Mailing Address

1875 Station Parkwaynw

Andover, MN 553041719

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.