Active NPI
Robert Ronald Steele, M.A.
- Psychologist
- Brainerd, MN
National Provider Identifier
1336158260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP2757
- Practice address
- 520 NW 5TH Street
Brainerd, MN 56401 - Phone
- (218) 829-3235
- Fax
- (218) 829-1368
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2757 | MN | |
| Psychologist | 103T00000X | LP2757 | MN | Primary |
Addresses
Primary practice location
520 NW 5TH Street
Brainerd, MN 56401
Mailing address
520 North West 5TH Street
Brainerd, MN 56401
Phone (218) 339-3235
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-20769 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 117952 | Other | MN | UCARE |
| 57305ST | Other | MN | BLUE CROSS BLUE SHIELD |
| 887347000 | Medicaid | MN | |
| HP18245 | Other | MN | HEALTH PARTNERS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP2757 | MN | MD | Psychologist |
| 2757 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1336158260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 NORTH WEST 5TH STREET",
"city": "BRAINERD",
"state": "MN",
"postal_code": "56401",
"telephone_number": "218-339-3235",
"fax_number": "218-829-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 NW 5TH STREET",
"city": "BRAINERD",
"state": "MN",
"postal_code": "56401",
"telephone_number": "218-829-3235",
"fax_number": "218-829-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "ROBERT",
"middle_name": "RONALD",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "2757",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP2757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-20769",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "117952",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "57305ST",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887347000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP18245",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.