Active NPI
Raye McPhillips Eyrich, PH.D., L.P., LLC
- Adult Mental Health Clinic/Center
- Minneapolis, MN
National Provider Identifier
1154583425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- LP0348
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6164189 | Other | MEDICA | |
| 036M6EY | Other | BLUECROSS BLUESHIELD OF MINNESOTA | |
| 063709200 | Medicaid | MN | |
| 26606 | Other | HEALTHPARTNERS | |
| 594721018854 | Other | PREFERRED ONE PPO |
National Provider Directory
National Provider DirectoryLocations
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.