Jennifer Lynn Dynes, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4207 Issued in MN

Practice address

160 Kellogg Blvd E
Saint Paul, MN 55101-1420

Phone

(651) 266-4081

Fax

(651) 266-4663

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hennepin County

  dba Hennepin County Mental Health Center

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1780790345

  Clinical

  NPD (past)
• Ramsey County Community Human Services

  • Public Health or Welfare Agency
  • Saint Paul, MN
  • NPI 1811055957
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073628996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KELLOGG BLVD E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011420",
            "telephone_number": "651-266-4081",
            "fax_number": "651-266-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KELLOGG BLVD E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011420",
            "telephone_number": "651-266-4081",
            "fax_number": "651-266-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYNES",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DXV Counseling, LLC.
• Erin Brandel Dykhuizen, LICSW
• Alicia Christine Dykstra, NP
• Dynamic Care Solution Inc
• Dynamik Services Inc
• Imani Dyrdahl, BSN, PHN
• Isaac Paul Dzubay, MD
• Ea Bilingual Services, Inc. (ARCH Language Network)
• Eagle Woods Wellness
• Lauri A Eakins

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.