Dawn Marie Ulrich-Spitzer, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3697 Issued in MN

Practice address

209 S Broad St
Mankato, MN 56001

Phone

(507) 345-4448

Fax

(507) 625-1000

NPI assigned

Dec 19, 2006

Last updated

May 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 1, 2016 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mankato Mental Health Associates, PA

  • Community/Behavioral Health Agency
  • Mankato, MN
  • NPI 1083863245
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1346304169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BROAD ST STE 308",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013569",
            "telephone_number": "507-345-4448",
            "fax_number": "507-625-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-345-4448",
            "fax_number": "507-625-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Broad St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560013569",
            "country_code": "US",
            "telephone_number": "507-345-4448 x1",
            "fax_number": "507-625-6829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULRICH-SPITZER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "214467",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE",
            "identifier": "120931",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "120931",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6020224400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "69695MA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55AOSUL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Tunnell
• Barbara Turner, M.S.,L.P.
• Kimberly Turner, PH.D., L.P.
• Mischa Antin Tursich, PH.D., L.P.
• Hunter Tuveson
• Audrey J Umbreit, PHARM.D.
• Allison Jean Urban
• Angel Maureen Uribe, LADC
• John L Uttech, RPH
• Hailey Rose Vail

• Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.