Robyn Gunderson, PHD
Individual provider Active NPI Psychologist · Northfield, MN
NPI 1104880327 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1104880327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- LP4256 (MN)
- Practice address
- 680 Professional Dr
Northfield, MN 55057-2755 - Phone
- (507) 663-0237
- Fax
- (507) 663-1180
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110620000680 | MN | Practitioner - Clinical Psychologist | 5294913323 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-004153 | IL | MD | Psychologist |
| LP4256 | MN | MD | Psychologist |
| 2032 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Lowry Hill Psychotherapy and Assessment Center | Psychologist | Current |
Accepting new patients |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
1910 Hennepin Ave
Minneapolis, MN 55403
Phone (612) 388-6095
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
1400 Jefferson Rd
Northfield, MN 55057
Phone (507) 663-9000
Interoperability endpoints
- rgunderson33026@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2032 | CO | |
| Psychologist | 103T00000X | 071-004153 | IL | |
| Psychologist | 103T00000X | LP4256 | MN | Yes |
Addresses
Primary practice location
680 Professional Dr
Northfield, MN 55057-2755
Mailing address
PO Box 43
Mr 10809
Minneapolis, MN 55440-0043
Phone (612) 262-4813
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 679487400 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgunderson33026@excellian.direct.allina.com | Direct | |
| Direct Messaging Address | rgunderson33026@excellian.direct.allina.com | Direct |
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.