MEDICARE: MR. JOSEPH MICHAEL BIANCARDI M.A., L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TM1800X	Intellectual & Developmental Disabilities Psychologist	LP5070	MN
2	103TC1900X	Counseling Psychologist	LP5070	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001665000	OTHER	MN	MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1922130053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH MICHAEL BIANCARDI M.A., L.P.

Provider Business Mailing Address
First Line	:	1405 SILVER LAKE RD NW
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-9301
Country	:	US
Telephone Number	:	763-567-8109
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 SILVER LAKE RD NW
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-9301
Country	:	US
Telephone Number	:	763-567-8109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	10/17/2014

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1134233018 — TAMARA LU FELEGY M.P.T.
Practice Location Address:

1405 SILVER LAKE RD NW , SUITE 8
NEW BRIGHTON, MN
55112-9301

Practice Phone: 651-206-9702
Practice Fax:

1629117452 — AMETHYST COUNSELING SERVICES, INC.
Practice Location Address:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
55112-9301

Practice Phone: 651-633-4532
Practice Fax: 651-633-9311

1487829677 — TIMOTHY A RICE LADC
Practice Location Address:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
55112-9301

Practice Phone: 651-633-4532
Practice Fax: 651-633-9311

1184899270 — TAMMY JON FROST JOHNSON LADC
Practice Location Address:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
55112-9301

Practice Phone: 651-633-4532
Practice Fax: 651-633-9311

1033354154 — KIMBERLEE ANN COMFORT MA, LP
Practice Location Address:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
55112-9301

Practice Phone: 651-633-4532
Practice Fax: 651-633-9311

Directions to “ MR. JOSEPH MICHAEL BIANCARDI M.A., L.P.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.