Olga Grun,PHD,PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 4405 Issued in MN

Legal business name

OLGA GRUN,PHD,PSYD, LLC

Practice address

1619 Dayton Ave
Suite 110
Saint Paul, MN 55104-6206

Phone

(651) 523-8808

Fax

(651) 523-8811

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Olga Grun, PHD, PSYD

Title

Clinical Psychologist

Phone

(651) 523-8808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225233406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE",
            "address_2": "SUITE 110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046206",
            "telephone_number": "651-523-8808",
            "fax_number": "651-523-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE",
            "address_2": "SUITE 110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046206",
            "telephone_number": "651-523-8808",
            "fax_number": "651-523-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA GRUN,PHD,PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUN",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-523-8808",
        "authorized_official_credential": "PHD, PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.