Active NPI
Andrew John Hachiya, PSY.D., LP
- Psychologist
- Golden Valley, MN
National Provider Identifier
1366770653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP5674
- Practice address
- 5905 Golden Valley Rd
#100
Golden Valley, MN 55422-4463 - Phone
- (763) 225-4053
- Fax
- (763) 225-4081
- NPI assigned
- Nov 24, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP5674 | MN | Primary |
Addresses
Primary practice location
5905 Golden Valley Rd
#100
Golden Valley, MN 55422-4463
Mailing address
5905 Golden Valley Rd
#100
Golden Valley, MN 55422-4463
Phone (763) 225-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2904 Humboldt Ave S
Minneapolis, MN 55408-1953
Phone (612) 226-3915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hachiya Psychological Services | Current | Accepting new patients | |
| Volunteers of America of MN | Past | Accepting new patients |
Locations
2904 Humboldt Ave S
Minneapolis, MN 55408
Phone (612) 767-1987
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1477962488
-
- Clinical Social Worker
- Golden Valley, MN
- NPI 1689743916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1366770653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 GOLDEN VALLEY RD",
"address_2": "#100",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224463",
"telephone_number": "763-225-4053",
"fax_number": "763-225-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 GOLDEN VALLEY RD",
"address_2": "#100",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224463",
"telephone_number": "763-225-4053",
"fax_number": "763-225-4081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACHIYA",
"first_name": "ANDREW",
"middle_name": "JOHN",
"credential": "PSY.D., LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-24",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP5674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.