Active NPI
M Ronald Minge, PH.D.
- Clinical Psychologist
- New Paltz, NY
National Provider Identifier
1275726531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4073-1
- Practice address
- 10 Main St
Suite 325
New Paltz, NY 12561-1762 - Phone
- (845) 255-8396
- Fax
- (845) 255-1620
- NPI assigned
- Aug 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 4073-1 | NY | Primary |
Addresses
Primary practice location
10 Main St
Suite 325
New Paltz, NY 12561-1762
Mailing address
4 Van Kleeck Ave
New Paltz, NY 12561-3129
Phone (845) 255-8396
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000912819003 | Other | NY | UNITED HEALTH CARE |
| P481561 | Other | NY | OXFORD |
| 0015306 | Other | NY | GHI |
| 01776012 | Medicaid | NY | |
| 144525 | Other | NY | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4073-1 | NY | MD | Clinical Psychologist |
| 004073 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1275726531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 VAN KLEECK AVE",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125613129",
"telephone_number": "845-255-8396",
"fax_number": "845-255-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MAIN ST",
"address_2": "SUITE 325",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125611762",
"telephone_number": "845-255-8396",
"fax_number": "845-255-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGE",
"first_name": "M",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "4073-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "000912819003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P481561",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0015306",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01776012",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "144525",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.