Active NPI
Amelia S Paquin, PHD LP
- Psychologist
- Hastings, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP4849
- Practice address
- 1303 S Frontage Rd
Ste 219
Hastings, MN 55033 - Phone
- (651) 505-3273
- Fax
- (855) 344-4350
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4849 | MN | |
| Psychologist | 103T00000X | LP4849 | MN | Primary |
Addresses
Primary practice location
1303 S Frontage Rd
Ste 219
Hastings, MN 55033
Mailing address
1303 S Frontage Rd Ste 150
Hastings, MN 55033-2690
Phone (612) 469-1963
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Express Inc | Psychologist | Current | Accepting new patients |
Locations
2121 Cliff Dr
Ste 207
Eagan, MN 55122
Phone (952) 451-8309
1303 S Frontage Rd
Ste 150
Hastings, MN 55033
Phone (651) 419-6362
7616 Currell Blvd
Ste 170
Woodbury, MN 55125
17820 Mound Rd
Ste B
Cypress, TX 77433
Phone (281) 612-8580
11211 Katy Fwy
Ste 309
Houston, TX 77079
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Cypress, TX
- NPI 1629591771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1205022753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 S FRONTAGE RD STE 150",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550332690",
"telephone_number": "612-469-1963",
"fax_number": "855-344-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 S FRONTAGE RD",
"address_2": "STE 219",
"city": "HASTINGS",
"state": "MN",
"postal_code": "55033",
"telephone_number": "651-505-3273",
"fax_number": "855-344-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAQUIN",
"first_name": "AMELIA",
"middle_name": "S",
"credential": "PHD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4849",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP4849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hastings, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.