Individual provider Active NPI

Hayley Elizabeth Knapp, PSYD

  • Clinical Psychologist
  • Rosemount, MN
National Provider Identifier
1205358868
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP6730 Issued in MN
Practice address
15265 Carrousel Way
Rosemount, MN 55068-1760
Phone
(952) 443-4600
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301018088 MI
Clinical Psychologist 103TC0700X 6301018088 MI
Counseling Psychologist 103TC1900X 6301018088 MI
Clinical Psychologist 103TC0700X LP6730 MN Primary

Addresses

Primary practice location

15265 Carrousel Way
Rosemount, MN 55068-1760

Mailing address

15265 Carrousel Way
Rosemount, MN 55068-1760

Other practice location 1

204 E Washington St
Ann Arbor, MI 48104-2070
Phone (734) 478-7358

Other practice location 2

429 S 7th St Apt 1
Ann Arbor, MI 48103-4781
Phone (269) 930-0882

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220927003649 MN Practitioner - Clinical Psychologist 8628454766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Minnesota Center for Psychology, LLCGroup PAC ID 2264583954, 15 clinicians

Practice addresses (Care Compare)

2324 University W Ave
Suite 120
Saint Paul, MN 55114-1854
Phone (651) 644-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301018088MIMDPsychologist
LP6730MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Center for Psychology, LLC Psychologist CurrentSince Oct 1, 2024 Accepting new patients
Lotus Consulting PLLC Ilona Phillips LMSW PLLC CurrentSince Jul 4, 2026 Accepting new patients

Locations

204 E Washington St
Ann Arbor, MI 48104
Phone (734) 478-7358

2324 University Ave W
Ste 120
Saint Paul, MN 55114
Phone (651) 644-4100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1205358868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15265 CARROUSEL WAY",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15265 CARROUSEL WAY",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681760",
            "telephone_number": "952-443-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042070",
            "country_code": "US",
            "telephone_number": "734-478-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 S 7th St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481034781",
            "country_code": "US",
            "telephone_number": "269-930-0882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "HAYLEY",
        "middle_name": "ELIZABETH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018088",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018088",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301018088",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

Verify at the official NPI Registry.