Organization Active NPI

Raye McPhillips Eyrich, PH.D., L.P., LLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1154583425
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LP0348 Issued in MN
Legal business name
RAYE MCPHILLIPS EYRICH, PH.D., L.P., LLC
Practice address
825 Nicollet Mall Ste 612
Minneapolis, MN 55402-2612
Phone
(612) 203-8660
Fax
(612) 659-1906
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Raye McPhillips Eyrich, PH.D., L.P.
Title
Psychologist
Phone
(612) 203-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LP0348 MN Primary

Addresses

Primary practice location

825 Nicollet Mall Ste 612
Minneapolis, MN 55402-2612

Mailing address

4721 Harriet Ave
Minneapolis, MN 55419-5433
Phone (612) 203-8660

Other identifiers 5

IdentifierTypeStateIssuer
6164189OtherMEDICA
036M6EYOtherBLUECROSS BLUESHIELD OF MINNESOTA
063709200MedicaidMN
26606OtherHEALTHPARTNERS
594721018854OtherPREFERRED ONE PPO

National Provider Directory

National Provider Directory

Locations

825 Nicollet Mall
Ste 612
Minneapolis, MN 55402
Phone (612) 203-8660

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1154583425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 HARRIET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195433",
            "telephone_number": "612-203-8660",
            "fax_number": "612-659-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 612",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022612",
            "telephone_number": "612-203-8660",
            "fax_number": "612-659-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYE MCPHILLIPS EYRICH, PH.D., L.P., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "EYRICH",
        "authorized_official_first_name": "RAYE",
        "authorized_official_middle_name": "MCPHILLIPS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-203-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "LP0348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6164189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF MINNESOTA",
            "identifier": "036M6EY",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063709200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "26606",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE PPO",
            "identifier": "594721018854",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.