Individual provider Active NPI

Vanessa Rachelle Rempel, PHD, LP

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1427364355
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5129 Issued in MN
Practice address
241 Cleveland Ave S Ste B6
Saint Paul, MN 55105-1255
Phone
(612) 216-1209
Fax
(651) 560-3514
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP5129 MN
Clinical Psychologist 103TC0700X LP5129 MN Primary

Addresses

Primary practice location

241 Cleveland Ave S Ste B6
Saint Paul, MN 55105-1255

Mailing address

241 Cleveland Ave S Ste B6
Saint Paul, MN 55105-1255
Phone (612) 216-1209

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110429000180 MN Practitioner - Clinical Psychologist 7214112630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP5129MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Oct 4, 2010 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1427364355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CLEVELAND AVE S STE B6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051255",
            "telephone_number": "612-216-1209",
            "fax_number": "651-560-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CLEVELAND AVE S STE B6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051255",
            "telephone_number": "612-216-1209",
            "fax_number": "651-560-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMPEL",
        "first_name": "VANESSA",
        "middle_name": "RACHELLE",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5129",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.