Julie A Eggers Huber, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 4487 Issued in MN

Practice address

3850 44TH St SW
Pine River, MN 56474-4447

Phone

(218) 831-4930

NPI assigned

Dec 14, 2006

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walker Ridge Psychological Services Inc.

  • Clinical Psychologist
  • Pine River, MN
  • NPI 1710023189
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1184786667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 44TH ST SW",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "564744447",
            "telephone_number": "218-831-4930",
            "fax_number": "218-587-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 44TH ST SW",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "564744447",
            "telephone_number": "218-831-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERS HUBER",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Carlson, D.D.S
• Cass & Crow Wings Cos Ind School Dist 2174
• Community Addiction Recovery Enterprises (Community Addiction Recovery Enterprises Pine River)
• Melissa Deckard
• Ashley Marie Delong
• Steven G Fisker, MD
• Megan Elizabeth Meade Gladen, MD
• Richard Paul Grundtner, LADC
• Stacy Louise Gustafson, LPCC
• Healthfirst Chiropractic Inc

• Clinical Psychologist in Pine River, MN
• Providers in Pine River, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.