Active NPI
Kristine M Meyer-Rubado, MA, LP
- Counseling Psychologist
- Rochester, MN
National Provider Identifier
1487781514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP3442
- Practice address
- 975 34TH Ave NW
Suite 215
Rochester, MN 55901 - Phone
- (507) 288-5818
- Fax
- (507) 424-1052
- NPI assigned
- Feb 27, 2007
- Last updated
- Jun 23, 2023
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP3442 | MN | |
| Counseling Psychologist | 103TC1900X | LP3442 | MN | Primary |
Addresses
Primary practice location
975 34TH Ave NW
Suite 215
Rochester, MN 55901
Mailing address
975 34TH Ave NW
Suite 215
Rochester, MN 55901
Phone (507) 288-5818
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158223200 | Medicaid | MN | |
| 140013 | Other | MN | UCARE |
| 921001022822 | Other | MN | PREFERRED ONE |
| HP29916 | Other | MN | HEALTHPARTNERS |
| 39P82ME | Other | MN | BCBS OF MN |
Other names 1
- Kristine M Meyer
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3442 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheila M. Daley, PLC | Past | Accepting new patients | |
| Associates in Psychiatry and Psychology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Group Psychotherapy Psychologist
- Rochester, MN
- NPI 1922145622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1487781514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 34TH AVE NW",
"address_2": "SUITE 215",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55901",
"telephone_number": "507-288-5818",
"fax_number": "507-424-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 34TH AVE NW",
"address_2": "SUITE 215",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55901",
"telephone_number": "507-288-5818",
"fax_number": "507-424-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER-RUBADO",
"first_name": "KRISTINE",
"middle_name": "M",
"credential": "MA, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP3442",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP3442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158223200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "140013",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "921001022822",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP29916",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "39P82ME",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "MEYER",
"middle_name": "M",
"credential": "MA, LP, PLLC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.