Organization Active NPI

Donald F Rahe PHD PA

  • Clinical Psychologist
  • Edina, MN
National Provider Identifier
1306033667
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1837 Issued in MN
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

Updated by the provider on Oct 1, 2007

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
61-80059OtherMNMEDICA INSURANCE
984441000163OtherPREFERREDONE INSURANCE
26667RAOtherMNBLUE CROSS
2792OtherMNHEALTHPARTNERS INSURANCE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.