Stephen John Antonello, PH.D.
NPI 1760548366ActiveIndividual· Psychologist, Clinical· West St Paul, MN
Psychologist, Clinical (PH.D.) in West St Paul, Minnesota, licensed in MN, with an NPI issued in December 2006. Medicare paid $56,168 for services to 15 patients in 2024.
Overview
| NPI | 1760548366 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Jan 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP1390 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 722 across 2 procedure codes |
| Paid by Medicare | $56,168 |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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