Daniel Charles Rebek, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5755 Issued in MN

Practice address

3460 Washington Dr Ste 200
Eagan, MN 55122-4302

Phone

(651) 769-6200

Fax

(651) 769-6249

NPI assigned

Sep 4, 2018

Last updated

Sep 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bhsi LLCGroup PAC ID 3274504816, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bhsi, LLC

  • Clinical Psychologist
  • North Saint Paul, MN
  • NPI 1174635643
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1245712439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 7TH AVE E STE 101",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551092946",
            "telephone_number": "651-769-6437",
            "fax_number": "651-769-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WASHINGTON DR STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224302",
            "telephone_number": "651-769-6200",
            "fax_number": "651-769-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBEK",
        "first_name": "DANIEL",
        "middle_name": "CHARLES",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ya Rath
• Telia Rattliff-Cross
• Shivani Rawal, MBBS,MD
• Shirin Razavian
• RBF LLC (Rainbow Pharmacy)
• Shelly Marie Smith Recer, DC
• Elizabeth Reckow, PHARMD, RPH
• Daniel Braden Redman
• Rehabilitation Consultants, Inc.
• Rehabilitation Specialists PA

• Clinical Psychologist in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.