Active NPI
Stephen Huey, PH.D.
- Psychologist
- Minnetonka, MN
National Provider Identifier
1114086667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP1511
- Practice address
- 10520 Wayzata Blvd
Minnetonka, MN 55305-1511 - Phone
- (952) 545-6090
- NPI assigned
- Dec 8, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP1511 | MN | Primary |
Addresses
Primary practice location
10520 Wayzata Blvd
Minnetonka, MN 55305-1511
Mailing address
10520 Wayzata Blvd
Minnetonka, MN 55305-1511
Phone (952) 545-6090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 12, 2016 through Feb 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1511 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1114086667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10520 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051511",
"telephone_number": "952-545-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051511",
"telephone_number": "952-545-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEY",
"first_name": "STEPHEN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP1511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.