Active NPI
Duane G Ollendick, PHD, LP
- Psychologist
- Rochester, MN
National Provider Identifier
1245292689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP0601
- Practice address
- 210 9TH St SE
Rochester, MN 55904-6756 - Phone
- (507) 288-3443
- NPI assigned
- Apr 3, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0601 | MN | Primary |
Addresses
Primary practice location
210 9TH St SE
Rochester, MN 55904-6756
Mailing address
210 9TH St SE
Rochester, MN 55904-6756
Phone (507) 288-3443
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 |
|---|---|---|---|
| Medicine Lake Consultation Group,PLLC | Past | Accepting new patients | |
| Associated Clinic of Psychology Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Louis Park, MN
- NPI 1588741292
-
dba lakes consultation group
- Psychiatry Physician
- St Louis Park, MN
- NPI 1881753564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1245292689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 9TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046756",
"telephone_number": "507-288-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 9TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046756",
"telephone_number": "507-288-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLENDICK",
"first_name": "DUANE",
"middle_name": "G",
"credential": "PHD, LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP0601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
- Alexander Olinger
- David James Olinger, PHARMD
- Elizabeth Jane Olive, MD
- Andre M Oliveira, M.D.
- Trevor Jared Oliverson, MD, DDS
- Jill M. Olmscheid, NP
- Sally Rosalyn Olmstead, PT, DPT
- Olmsted County
- Olmsted County (Olmsted County Behavioral Health)
- Olmsted County (Olmsted County Child & Family Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.