Individual provider Active NPI

Thomas T Nguyen, PSY.D., LP

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1043617962
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5801 Issued in MN
Practice address
1919 University Ave W Ste 200
Saint Paul, MN 55104
Phone
(651) 266-7999
Fax
(651) 266-7850
NPI assigned
Nov 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY004835 GA
Clinical Psychologist 103TC0700X LP5801 MN Primary

Addresses

Primary practice location

1919 University Ave W Ste 200
Saint Paul, MN 55104

Mailing address

2136 Ford Pkwy # 5108
Saint Paul, MN 55116-2850
Phone (651) 432-0400

Other practice location 1

2701 University Ave SE Ste 205
Minneapolis, MN 55414-3236
Phone (612) 767-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414000539 MN Practitioner - Clinical Psychologist 9436477379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1919 University Ave W
Suite 200
Saint Paul, MN 55104-3435
Phone (651) 523-7999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY004835GAMDClinical Psychologist
LP5801MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey County Mental Health Center CurrentSince Nov 26, 2018 Accepting new patients
Brookview Psychology & Consulting Services LLC Clinical CurrentSince May 1, 2022 Accepting new patients
Ramsey County Mental Health Center CurrentSince Nov 26, 2018 Accepting new patients
Metro Behavioral Health, LLC PastSince Jan 17, 2021 Accepting new patients

Locations

2701 University Ave SE
Ste 205
Minneapolis, MN 55414
Phone (612) 767-7770

2136 Ford Pkwy
#5108
Saint Paul, MN 55116
Phone (651) 964-0496

1919 University Ave W
Ste 20
Saint Paul, MN 55104

1919 University Ave W
Ste 200
Saint Paul, MN 55104
Phone (651) 266-7999

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: thomas.nguyen.p3@direct.ramseysocialservices.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1043617962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "651-432-0400",
            "fax_number": "651-432-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-266-7999",
            "fax_number": "651-266-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 University Ave SE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554143236",
            "country_code": "US",
            "telephone_number": "612-767-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THOMAS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004835",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.