Active NPI
Jodie A Raymaker, MS LP
- Clinical Psychologist
- St Paul, MN
National Provider Identifier
1437238540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP0991
- Practice address
- 347 North Smith Avenue
Midwest Childrens Resource Center 401
St Paul, MN 55102 - Phone
- (651) 220-6750
- Fax
- (651) 220-6770
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0991 | MN | |
| Clinical Psychologist | 103TC0700X | LP0991 | MN | Primary |
Addresses
Primary practice location
347 North Smith Avenue
Midwest Childrens Resource Center 401
St Paul, MN 55102
Mailing address
2910 Centre Pointe Drive
Childrens Health Care 35 121a
Roseville, MN 55113
Phone (651) 855-2327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0991 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1437238540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CENTRE POINTE DRIVE",
"address_2": "CHILDRENS HEALTH CARE 35 121A",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-855-2327",
"fax_number": "651-855-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 NORTH SMITH AVENUE",
"address_2": "MIDWEST CHILDRENS RESOURCE CENTER 401",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-220-6750",
"fax_number": "651-220-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMAKER",
"first_name": "JODIE",
"middle_name": "A",
"credential": "MS LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP0991",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP0991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.