Individual provider Active NPI

Ju-Ping Huang, PHD, L.P

  • Psychologist
  • New Brighton, MN
National Provider Identifier
1477984433
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5957 Issued in MN
Practice address
900 Long Lake Rd Ste 160
New Brighton, MN 55112-6414
Phone
(612) 706-9630
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X LP5957 MN Primary

Addresses

Primary practice location

900 Long Lake Rd Ste 160
New Brighton, MN 55112-6414

Mailing address

3673 Lexington Ave N
H2 #252
Arden Hills, MN 55126-6414
Phone (763) 200-4175

Other practice location 1

11280 86th Ave N
Maple Grove, MN 55369-4510
Phone (763) 400-7828

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
I20181113000584 MN Practitioner - Clinical Psychologist 6507110400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7362 University Ave NE
Suite 209
Fridley, MN 55432-3151
Phone (763) 200-4175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Psychology, PA CurrentSince Sep 23, 2018 Accepting new patients
Health and Wellness Collaborative CurrentSince Sep 21, 2021 Accepting new patients
Ju-Ping Huang PHD LP Psychologist CurrentSince Jul 1, 2022 Accepting new patients
Scott M Yarosh, LLC CurrentSince Sep 23, 2018 Accepting new patients

Locations

11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828

7362 University Ave NE
Ste 209
Minneapolis, MN 55432
Phone (612) 400-7914

900 Long Lake Rd
Ste 160
Saint Paul, MN 55112
Phone (612) 706-9630

3673 Lexington Ave N
Ste H2
Saint Paul, MN 55126

Organizations & group practices 4

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": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1477984433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3673 LEXINGTON AVE N",
            "address_2": "H2 #252",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551266414",
            "telephone_number": "763-200-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD STE 160",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126414",
            "telephone_number": "612-706-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11280 86th Ave N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694510",
            "country_code": "US",
            "telephone_number": "763-400-7828",
            "fax_number": "763-400-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JU-PING",
        "name_prefix": "Dr.",
        "credential": "PHD, L.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

Verify at the official NPI Registry.