Active NPI
James Stanley Prijatel, MS
- Clinical Child & Adolescent Psychologist
- Saint Cloud, MN
National Provider Identifier
1194709436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- LP2547
- Practice address
- 600 25TH Ave S
Ste 109
Saint Cloud, MN 56301-4841 - Phone
- (320) 255-0343
- Fax
- (320) 654-0318
- NPI assigned
- Nov 30, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | LP2547 | MN | Primary |
Addresses
Primary practice location
600 25TH Ave S
Ste 109
Saint Cloud, MN 56301-4841
Mailing address
600 25TH Ave S
Ste 109
Saint Cloud, MN 56301-4841
Phone (320) 255-0343
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268PR | Other | BLUE PLUS | |
| 56294PR | Other | BCBS | |
| 6242632 | Other | UBH | |
| 18800381 | Other | MMSI | |
| 484160 | Other | VALUE OPTIONS | |
| 6242632 | Other | MEDICA |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP2547 | MN | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194709436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 25TH AVE S",
"address_2": "STE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014841",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 25TH AVE S",
"address_2": "STE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014841",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIJATEL",
"first_name": "JAMES",
"middle_name": "STANLEY",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MN",
"license": "LP2547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE PLUS",
"identifier": "0268PR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56294PR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6242632",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMSI",
"identifier": "18800381",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "484160",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6242632",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.