Active NPI
Sneha Madhwa Raj, PSY.D
- Psychologist
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP6214
- Practice address
- 11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195 - Phone
- (612) 314-5602
- NPI assigned
- Aug 2, 2017
- Last updated
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP6214 | MN | Primary |
| Clinical Psychologist | 103TC0700X | 20043025 | IN |
Addresses
Primary practice location
11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195
Mailing address
11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195
Phone (612) 314-5602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6214 | MN | MD | Psychologist |
| 20043025 | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sneha M Raj Vikas Psychology | Clinical | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
11670 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (612) 355-0693
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
7231 Sunwood Dr NW
Ramsey, MN 55303
Phone (763) 236-0000
Organizations & group practices 5
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.
-
dba Vikas Psychology LLC
- Clinical Psychologist
- Maple Grove, MN
- NPI 1134004377
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Women's Health Consultants
- Obstetrics & Gynecology Physician
- Minneapolis, MN
- NPI 1801836663
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1245754019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11670 FOUNTAINS DR STE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697195",
"telephone_number": "612-314-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11670 FOUNTAINS DR STE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697195",
"telephone_number": "612-314-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJ",
"first_name": "SNEHA",
"middle_name": "MADHWA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP6214",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.