Active NPI
Carrie Ann Remmell, PSYD, LP
- Psychologist
- Northfield, MN
National Provider Identifier
1366691057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP5274
- Practice address
- 220 Division St S
Northfield, MN 55057-2046 - Phone
- (507) 403-8908
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- 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 | LP5274 | MN | Primary |
Addresses
Primary practice location
220 Division St S
Northfield, MN 55057-2046
Mailing address
220 Division St S
Northfield, MN 55057-2046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1366691057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 DIVISION ST S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 DIVISION ST S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572046",
"telephone_number": "507-403-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMMELL",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "PSYD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MN",
"license": "LP5274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northfield, MN
- Randolph J Reister, MD
- Angela Marie Reiter, PTA
- David Arnold Reitz, MD
- Relaunch Psychiatry Services
- Michael Charles Remes, DDS
- Raquel Rendon, CHW
- Jennifer Rhein, MA, LMFT
- Rice Dakota & Goodhue Cos Ind School District 659 (Northfield Public School District 659)
- Christina Renee Richardson, APRN, FNP-BC
- Patricia Ann Richardson, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.