Active NPI
Donald F Rahe PHD PA
- Clinical Psychologist
- Edina, MN
National Provider Identifier
1306033667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1837
- Legal business name
- DONALD F RAHE PHD PA
- Practice address
- 5200 Willson Rd
Suite 405
Edina, MN 55424-1332 - Phone
- (952) 929-0577
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald F. Rahe, PH.D.
- Title
- President
- Phone
- (952) 922-4419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP1837 | MN | Primary |
Addresses
Primary practice location
5200 Willson Rd
Suite 405
Edina, MN 55424-1332
Mailing address
5613 Bernard PL
Edina, MN 55436-2450
Phone (952) 922-4419
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-80059 | Other | MN | MEDICA INSURANCE |
| 984441000163 | Other | PREFERREDONE INSURANCE | |
| 26667RA | Other | MN | BLUE CROSS |
| 2792 | Other | MN | HEALTHPARTNERS INSURANCE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1306033667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5613 BERNARD PL",
"city": "EDINA",
"state": "MN",
"postal_code": "554362450",
"telephone_number": "952-922-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 WILLSON RD",
"address_2": "SUITE 405",
"city": "EDINA",
"state": "MN",
"postal_code": "554241332",
"telephone_number": "952-929-0577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD F RAHE PHD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "RAHE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "952-922-4419",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP1837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA INSURANCE",
"identifier": "61-80059",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE INSURANCE",
"identifier": "984441000163",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "26667RA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS INSURANCE",
"identifier": "2792",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.