Active NPI
Helen Mitzi Doane, PHD
- Clinical Psychologist
- Duluth, MN
National Provider Identifier
1255407359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1758
- Practice address
- 205 W 2ND St
Suite 437 Duluth Psychological Clinic
Duluth, MN 55802 - Phone
- (218) 722-2005
- Fax
- (218) 727-3000
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP1758 | MN | Primary |
Addresses
Primary practice location
205 W 2ND St
Suite 437 Duluth Psychological Clinic
Duluth, MN 55802
Mailing address
205 W 2ND St
Suite 437 DPC
Duluth, MN 55802
Phone (218) 721-5082
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1978
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
205 W 2ND St
Suite 437
Duluth, MN 55802-1922
Phone (218) 722-2005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Duluth, MN
- NPI 1730243809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255407359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W 2ND ST",
"address_2": "SUITE 437 DPC",
"city": "DULUTH",
"state": "MN",
"postal_code": "55802",
"telephone_number": "218-721-5082",
"fax_number": "218-727-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W 2ND ST",
"address_2": "SUITE 437 DULUTH PSYCHOLOGICAL CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "55802",
"telephone_number": "218-722-2005",
"fax_number": "218-727-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOANE",
"first_name": "HELEN",
"middle_name": "MITZI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP1758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.