Individual provider Active NPI

Maureen E Gluek, PSYD-LP

  • Psychologist
  • St Paul, MN
National Provider Identifier
1285690115
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP1872 Issued in MN
Practice address
1026 W 7TH Street
St Paul, MN 55102-3007
Phone
(651) 241-1000
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP1872 MN Primary
Social Worker 104100000X 06386 MN

Addresses

Primary practice location

1026 W 7TH Street
St Paul, MN 55102-3007

Mailing address

1026 W 7TH Street
St Paul, MN 55102-3007
Phone (651) 241-1000

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
I20040505000247 MN Practitioner - Clinical Psychologist 9234127523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Family Practice Health CenterGroup PAC ID 0042109258, 19 clinicians

Practice addresses (Care Compare)

1026 7TH St W
Saint Paul, MN 55102-3828
Phone (651) 758-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP1872MNMDPsychologist
06386MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Practice Health Center CurrentSince Mar 13, 2004 Accepting new patients
United Family Practice Health Center CurrentSince Mar 13, 2004 Accepting new patients

Locations

1026 7th St W
Saint Paul, MN 55102
Phone (651) 241-1000

Interoperability endpoints

  • Direct secure messaging: mgluek101353@excellian.direct.allina.com

Organizations & group practices 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1285690115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 W 7TH STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551023007",
            "telephone_number": "651-241-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W 7TH STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551023007",
            "telephone_number": "651-241-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUEK",
        "first_name": "MAUREEN",
        "middle_name": "E",
        "credential": "PSYD-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1872",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "06386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

Verify at the official NPI Registry.