Active NPI
Lewis M Rambo, PHD IN PSYCHOLOGY
- Psychologist
- Saint Paul, MN
National Provider Identifier
1316432867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1732-PY-PR
- Practice address
- 624 Selby Ave Ste 2
Saint Paul, MN 55104-6614 - Phone
- (781) 354-8882
- NPI assigned
- Jun 27, 2018
- Sex
- Male
- 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 | 1732-PY-PR | MA | Primary |
Addresses
Primary practice location
624 Selby Ave Ste 2
Saint Paul, MN 55104-6614
Mailing address
624 Selby Ave Ste 2
Saint Paul, MN 55104-6614
Phone (781) 354-8882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1732-PY-PR | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1316432867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 SELBY AVE STE 2",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046614",
"telephone_number": "781-354-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 SELBY AVE STE 2",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046614",
"telephone_number": "781-354-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMBO",
"first_name": "LEWIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD IN PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "1732-PY-PR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.