Active NPI
Robert Leonard Guibord Jr., PSY.D.
- Clinical Psychologist
- Saint Paul, MN
National Provider Identifier
1083728042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP 4566
- Practice address
- 821 Raymond Ave Ste 150
Saint Paul, MN 55114-1510 - Phone
- (651) 245-3445
- Fax
- (612) 440-2201
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP 4566 | MN | Primary |
Addresses
Primary practice location
821 Raymond Ave Ste 150
Saint Paul, MN 55114-1510
Mailing address
821 Raymond Ave Ste 150
Saint Paul, MN 55114-1510
Phone (651) 245-3445
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 4566 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1083728042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 RAYMOND AVE STE 150",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141510",
"telephone_number": "651-245-3445",
"fax_number": "612-440-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 RAYMOND AVE STE 150",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141510",
"telephone_number": "651-245-3445",
"fax_number": "612-440-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIBORD",
"first_name": "ROBERT",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP 4566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.