Active NPI
Tobin R Del Giudice, PHD LP
- Psychologist
- Minneapolis, MN
National Provider Identifier
1033145206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3871
- Practice address
- 2450 Riverside Ave # F196
Minneapolis, MN 55454-1450 - Phone
- (612) 672-6999
- Fax
- (612) 672-2691
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3871 | MN | Primary |
Addresses
Primary practice location
2450 Riverside Ave # F196
Minneapolis, MN 55454-1450
Mailing address
2450 Riverside Ave # F196
Minneapolis, MN 55454-1450
Phone (612) 672-6999
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6144097 | Other | MEDICA | |
| 74D82DE | Other | BCBS | |
| HP27105 | Other | HEALTH PARTNERS | |
| 759368600 | Medicaid | MN | |
| 922241015238 | Other | PREFERRED ONE | |
| 122165C851 | Other | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3871 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1033145206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE # F196",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-672-6999",
"fax_number": "612-672-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE # F196",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-672-6999",
"fax_number": "612-672-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL GIUDICE",
"first_name": "TOBIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6144097",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "74D82DE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP27105",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "759368600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "922241015238",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "122165C851",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.