Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stephen John Antonello, PHD

Individual provider Clinical Psychologist · NPI 1760548366

Dr. Stephen John Antonello, PHD is a Clinical Psychologist in West St Paul, Minnesota. Qualified in 1986, 40 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
40
Licensed in
MN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

66 Thompson Ave E Ste 102
West St Paul, MN 55118-3184
Phone: (651) 688-2335
Fax: (651) 688-2669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP1390 (MN)

Record details

NPI number1760548366
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESJanuary 30, 2017
Mailing address825 Deer Trail Pt, Mendota Heights, MN 55118-2750

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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