Anesh Patel, PSYD, LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP5711 Issued in MN

Practice address

1123 Grand Ave Apt 201
Saint Paul, MN 55105-2744

Phone

(612) 356-1566

Fax

(612) 446-5793

NPI assigned

Jan 10, 2014

Last updated

Jan 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Internal Revolution Counseling and Consulting, L.L.C.

  • Counseling Psychologist
  • Saint Paul, MN
  • NPI 1679020226
  Medicare reassignment NPD Authorized official
• Hamm Memorial Psychiatric Clinic

  dba Hamm Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1609876051
  Medicare reassignment

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1467874495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 37TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062134",
            "telephone_number": "612-356-1566",
            "fax_number": "612-446-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 GRAND AVE APT 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052744",
            "telephone_number": "612-356-1566",
            "fax_number": "612-446-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANESH",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Arthur Pasquarella Jr., PA-C
• Richard Ernest Passenheim
• Passionate Healthcare Services
• Passport Health Holdings, LLC. (PPH Global Services, LLC.)
• Ajay Ramji Patel, PHARM.D.
• Bhavin I Patel, MD
• Nilan Naitik Patel
• Pooja Patel, DPM
• Radhika Ramesh Patel, PHARM.D.
• Rita B Patel, M.D., M.P.H.

• Counseling Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.