Active NPI
Jeanette Elaine Truchsess, PHD LP
- Psychologist
- St Paul, MN
National Provider Identifier
1114042819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP2049
- Practice address
- 348 Prior Avenue North
St Paul, MN 55104 - Phone
- (651) 226-4704
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP2049 | MN | Primary |
Addresses
Primary practice location
348 Prior Avenue North
St Paul, MN 55104
Mailing address
348 Prior Avenue North
St Paul, MN 55104
Phone (651) 226-4704
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6129933 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 3K724TR | Other | MN | BLUE CROSS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP2049 | MN | MD | Psychologist |
| 2049 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114042819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 PRIOR AVENUE NORTH",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-226-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 PRIOR AVENUE NORTH",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-226-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUCHSESS",
"first_name": "JEANETTE",
"middle_name": "ELAINE",
"credential": "PHD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP2049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6129933",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3K724TR",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Paul, MN
Sources for this page
- 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.