Active NPI
John N. O'Neil, PH.D., L.P., LLC
- Clinical Psychologist
- Minneapolis, MN
National Provider Identifier
1306921275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP4307
- Legal business name
- JOHN N. O'NEIL, PH.D., L.P., LLC
- Practice address
- 825 Nicollet Mall
1735 Medical Arts Building
Minneapolis, MN 55402-2704 - Phone
- (612) 455-6167
- Fax
- (612) 333-6740
- NPI assigned
- Oct 26, 2006
- 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. John Nolen O'Neil, PH.D.
- Title
- Licensed Psychologist
- Phone
- (612) 455-6167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4307 | MN | Primary |
Addresses
Primary practice location
825 Nicollet Mall
1735 Medical Arts Building
Minneapolis, MN 55402-2704
Mailing address
825 Nicollet Mall
1735 Medical Arts Building
Minneapolis, MN 55402-2704
Phone (612) 455-6167
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169041 | Other | MN | UCARE |
| 6169449 | Other | MEDICA | |
| 013764200 | Medicaid | MN | |
| 49F69ON | Other | MN | BLUE CROSS BLUE SHIELD |
| HP40630 | Other | MN | HEALTH PARTNERS |
National Provider Directory
National Provider DirectoryLocations
825 Nicollet Mall
Ste 1735
Minneapolis, MN 55402
Phone (612) 333-3825
825 S 8th St
Ste 604
Minneapolis, MN 55404
Phone (612) 333-3825
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Minneapolis, MN
- NPI 1972780922
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1508947615
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1346491180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1306921275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL",
"address_2": "1735 MEDICAL ARTS BUILDING",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022704",
"telephone_number": "612-455-6167",
"fax_number": "612-333-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL",
"address_2": "1735 MEDICAL ARTS BUILDING",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022704",
"telephone_number": "612-455-6167",
"fax_number": "612-333-6740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN N. O'NEIL, PH.D., L.P., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "O'NEIL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "NOLEN",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "612-455-6167",
"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": "LP4307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "169041",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6169449",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013764200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "49F69ON",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP40630",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.