Individual provider Active NPI

Gerald Patrick Crimmins, PSYD CP

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1063499499
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4454 Issued in MN
Practice address
2550 University Ave W
Ste 229N
Saint Paul, MN 55114
Phone
(651) 645-3115
Fax
(651) 645-2752
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4454 MN Primary

Addresses

Primary practice location

2550 University Ave W
Ste 229N
Saint Paul, MN 55114

Mailing address

8823 Jasmine LN
Eden Prairie, MN 55344
Phone (952) 200-7796

Other identifiers 1

IdentifierTypeStateIssuer
510R7CROtherMNBCBS OF MN

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
I20040308001109 MN Practitioner - Clinical Psychologist 9830087279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Minnesota Center for Psychology, LLCGroup PAC ID 2264583954, 15 clinicians

Practice addresses (Care Compare)

2324 University W Ave
Suite 120
Saint Paul, MN 55114-1854
Phone (651) 644-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP4454MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Minnesota Center for Psychology, LLC Psychologist CurrentSince May 11, 2009 Accepting new patients
West Central Counseling LLC PastSince Jun 6, 2021 Accepting new patients
Psychiatric Recovery PA Past Accepting new patients
Psych Recovery Inc Psychologist PastSince May 15, 2009 Accepting new patients
Thomas Allen, Inc. Past Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

7525 Mitchell Rd
Ste 100
Eden Prairie, MN 55344
Phone (952) 224-2282

2324 University Ave W
Ste 120
Saint Paul, MN 55114
Phone (651) 644-4100

Organizations & group practices 6

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063499499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 JASMINE LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-200-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "STE 229N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-645-3115",
            "fax_number": "651-645-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "GERALD",
        "middle_name": "PATRICK",
        "credential": "PSYD CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "510R7CR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.