Organization Active NPI

Ralph a. Rovner, PH.D., P.a.

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1487665014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP 2554 Issued in MN
Legal business name
RALPH A. ROVNER, PH.D., P.A.
Practice address
6607 18TH Ave S
Suite 101
Minneapolis, MN 55423-2784
Phone
(952) 451-3344
Fax
(952) 544-6919
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ralph A. Rovner, PH.D.
Title
President of PA and LLC
Phone
(952) 451-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP 2554 MN Primary

Addresses

Primary practice location

6607 18TH Ave S
Suite 101
Minneapolis, MN 55423-2784

Mailing address

1638 Utah Dr S
Saint Louis Park, MN 55426-1962
Phone (952) 451-3344

Other names 1

  • Assessment & Guidance Services LLC Other name

National Provider Directory

National Provider Directory

Locations

7225 Forestview Ln N
Maple Grove, MN 55369
Phone (612) 978-5058

570 Asbury St
Ste 302
Saint Paul, MN 55104
Phone (651) 645-1923

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487665014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 UTAH DR S",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554261962",
            "telephone_number": "952-451-3344",
            "fax_number": "952-544-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S",
            "address_2": "SUITE 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554232784",
            "telephone_number": "952-451-3344",
            "fax_number": "952-544-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH A. ROVNER, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROVNER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT OF PA AND LLC",
        "authorized_official_telephone_number": "952-451-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 2554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assessment & Guidance Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.