Renee T Vonweiss, PHD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4485 Issued in MN

Practice address

4500 Park Glen Rd
Suite 450
St Louis Park, MN 55416-4871

Phone

(952) 444-9744

Fax

(952) 444-9745

NPI assigned

Sep 13, 2005

Sex

Female

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stepping Stone Clinic LLCGroup PAC ID 1951675321, 3 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 and National Provider Directory roles.

• Stepping Stone Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Richfield, MN
  • NPI 1720526759
  Medicare reassignment Care Compare group NPD
• Elizabeth Wagner, PSYD, LP, Inc.

  • Clinical Psychologist
  • Saint Louis Park, MN
  • NPI 1740637818
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1265427629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD",
            "address_2": "SUITE 450",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164871",
            "telephone_number": "952-444-9744",
            "fax_number": "952-444-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD",
            "address_2": "SUITE 450",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164871",
            "telephone_number": "952-444-9744",
            "fax_number": "952-444-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONWEISS",
        "first_name": "RENEE",
        "middle_name": "T",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Voelker, M.D.
• Corrin Voeller, MA
• Carie Voges
• Brooke Raeanne Vogt, PHYSICIAN ASSISTANT
• Kevin Vonruden, DPT
• Debra Gardiner Voss
• Jonathan Douglas Voss, MD
• Heather Christine Votava-Bialczyk, MD
• Julian Vrudny
• Robin Katherine Vu, DPT

• Clinical Psychologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.