Andrya Dieter, PSY.D, L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5360 Issued in MN

Practice address

3101 Old Highway 8 # 304B
Roseville, MN 55113-1072

Phone

(763) 478-1283

Fax

(651) 925-0304

NPI assigned

Mar 19, 2007

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Andrya Maldonado Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Andrya Dieter, PSYD, LP, LLC

  • Community/Behavioral Health Agency
  • Roseville, MN
  • NPI 1083163745
  Authorized official Same address or phone
• Bachmann and Associates, Inc

  dba Counseling Care

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Elmo, MN
  • NPI 1144210899
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1407971757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8 # 304B",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131072",
            "telephone_number": "763-478-1283",
            "fax_number": "651-925-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8 # 304B",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131072",
            "telephone_number": "763-478-1283",
            "fax_number": "651-925-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETER",
        "first_name": "ANDRYA",
        "credential": "PSY.D, L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "5360",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRYA",
            "last_name": "MALDONADO",
            "credential": "PSYD, L.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Designing Smiles, PA
• Brenda Deutsch, NP
• Jane Shelgren Diamond, MSW
• Chelsea A Dick, RN
• Megan Lynn Dickman
• Laki Ibrahim Dige
• Lauren Dimaria
• Saida Abdirahman Dirie
• Vicki Dischler, MA, LPC
• Discovery Mental Health, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.