Paul Joseph Hildebrant, PH.D., L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 1400 Issued in MN

Practice address

1485 81St Ave NE
Spring Lake Park, MN 55432-2111

Phone

(763) 780-3036

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Lee Carlson Center for Mental Health and Well-Being

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fridley, MN
  • NPI 1457455057
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104903012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 81ST AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322111",
            "telephone_number": "763-780-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 81ST AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322111",
            "telephone_number": "763-780-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRANT",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 1400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "7955550200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ikraan Haaji
• Ted H Harrison Sr., D.C.
• Susan S Hartman, M.A. , L.P.
• Ireina Hayes
• Helping Hands Assisted Living LLC
• Charles Bernard Hilger Jr., LADC
• Kevin Lee Hines
• John Hoang
• Adnan Abdill Hussein
• Hy-Vee Inc

• All providers in Spring Lake Park, MN
• 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.