Individual provider Active NPI

Alexandra Schmidt, PH.D., L.P.

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1245782473
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP6109 Issued in MN
Practice address
4048 28TH Ave S
Minneapolis, MN 55406-3119
Phone
(612) 605-1410
Fax
(612) 421-0023
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP6109 MN Primary

Addresses

Primary practice location

4048 28TH Ave S
Minneapolis, MN 55406-3119

Mailing address

4048 28TH Ave S
Minneapolis, MN 55406-3119
Phone (612) 605-1410

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
I20170503000492 MN Practitioner - Clinical Psychologist 4284911124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Growlery LLCGroup PAC ID 1153716055, 2 clinicians

Practice addresses (Care Compare)

4048 28TH Ave S
Minneapolis, MN 55406-3119
Phone (612) 605-1410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The Growlery LLC CurrentSince Oct 1, 2016 Accepting new patients
Mental Health Systems PC Psychologist CurrentSince Mar 14, 2017 Accepting new patients
Natalis Counseling and Psychology Solutions, P.a. Psychologist PastSince May 7, 2020 Accepting new patients

Locations

3737 Minnehaha Ave
Minneapolis, MN 55406
Phone (612) 605-1410

6600 France Ave S
Ste 230
Minneapolis, MN 55435
Phone (952) 460-9007

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1245782473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 28TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063119",
            "telephone_number": "612-605-1410",
            "fax_number": "612-421-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 28TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063119",
            "telephone_number": "612-605-1410",
            "fax_number": "612-421-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.