Active NPI
Diane Patricia Barrett, PHD LP
- Psychologist
- St Paul, MN
National Provider Identifier
1285791202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP1631MN
- Practice address
- 311 Ramsey St
Ramsey Professional Building
St Paul, MN 55102 - Phone
- (651) 291-8070
- Fax
- (651) 227-6559
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP1631MN | MN | Primary |
Addresses
Primary practice location
311 Ramsey St
Ramsey Professional Building
St Paul, MN 55102
Mailing address
311 Ramsey St
Ramsey Professional Building
St Paul, MN 55102
Phone (651) 291-8070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415848200 | Other | MN | MEDICAL ASSISTANCE |
| 4H795BA | Other | MN | BLUE CROSS BLUE SHIELD |
| 111535 | Other | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 5, 2024 through Jan 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1631MN | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1285791202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 RAMSEY ST",
"address_2": "RAMSEY PROFESSIONAL BUILDING",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-291-8070",
"fax_number": "651-227-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 RAMSEY ST",
"address_2": "RAMSEY PROFESSIONAL BUILDING",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-291-8070",
"fax_number": "651-227-6559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "DIANE",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PHD LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP1631MN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "415848200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4H795BA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "111535",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.