Organization Active NPI

Rooted Psychology

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
National Provider Identifier
1386408193
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROOTED PSYCHOLOGY
Practice address
306 W Superior St Ste 405
Duluth, MN 55802-5017
Phone
(218) 203-9553
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Cortney Del DuffyNPI 1740763085
Title
Psychologist; Owner
Phone
(218) 203-9335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

306 W Superior St Ste 405
Duluth, MN 55802-5017

Mailing address

306 W Superior St Ste 405
Duluth, MN 55802-5017
Phone (218) 203-9553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240531000636 MN Part B Supplier - Clinic/Group Practice 1658713961 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Locations

306 W Superior St
Ste 405
Duluth, MN 55802
Phone (218) 203-9335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1386408193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 405",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025017",
            "telephone_number": "218-203-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 405",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025017",
            "telephone_number": "218-203-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_middle_name": "DEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST; OWNER",
        "authorized_official_telephone_number": "218-203-9335"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.