Individual provider Active NPI

Peggy Marie Maude-Griffin, PH.D., LP

  • Clinical Psychologist
  • Edina, MN
National Provider Identifier
1447557285
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP 4110 Issued in MN
Practice address
7235 Ohms LN
Edina, MN 55439-2148
Phone
(952) 841-2345
Fax
(952) 841-2346
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP 4110 MN Primary

Addresses

Primary practice location

7235 Ohms LN
Edina, MN 55439-2148

Mailing address

7235 Ohms LN
Edina, MN 55439-2148
Phone (952) 841-2345

Other practice location 1

584 Bavaria Ln
Chaska, MN 55318-4597
Phone (952) 841-2345

Other practice location 2

1725 Legacy Pkwy E Ste 100
Maplewood, MN 55109-5434
Phone (952) 841-2345

Other practice location 3

12000 Elm Creek Blvd N Ste 300
Maple Grove, MN 55369-7075
Phone (952) 841-2345

Other practice location 4

14551 County Road 11 Ste 100
Burnsville, MN 55337-4799
Phone (952) 841-2345

Other practice location 5

683 Bielenberg Dr Ste 103
Woodbury, MN 55125-1711
Phone (952) 841-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.75 of 100Reported as group
Quality
42.73
Promoting interoperability
96
Improvement activities
40
Cost
66.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP 4110MNMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: peg.maudegriffin.p1@direct.tcpain.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1447557285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392148",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392148",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Bavaria Ln",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553184597",
            "country_code": "US",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 Legacy Pkwy E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095434",
            "country_code": "US",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12000 Elm Creek Blvd N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697075",
            "country_code": "US",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14551 County Road 11 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374799",
            "country_code": "US",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "683 Bielenberg Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551251711",
            "country_code": "US",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUDE-GRIFFIN",
        "first_name": "PEGGY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 4110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.