Organization Active NPI

Nathan Ryan Dean PHD LP PLLC

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1508296070
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5397 Issued in MN
Legal business name
NATHAN RYAN DEAN PHD LP PLLC
Practice address
1599 Selby Ave
Suite 210
Saint Paul, MN 55104-6218
Phone
(651) 231-9936
Fax
(651) 846-5784
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Dr. Nathan Ryan Dean, PH.D., L.P.
Title
Licensed Psychologist
Phone
(651) 231-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 5397 MN Primary

Addresses

Primary practice location

1599 Selby Ave
Suite 210
Saint Paul, MN 55104-6218

Mailing address

1599 Selby Ave
Suite 210
Saint Paul, MN 55104-6218
Phone (651) 231-9936

Other names 1

  • Ryan Dean PhD LP Doing business as

National Provider Directory

National Provider Directory

Locations

790 Cleveland Ave S
Ste 201
Saint Paul, MN 55116
Phone (612) 808-9730

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1508296070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 SELBY AVE",
            "address_2": "SUITE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046218",
            "telephone_number": "651-231-9936",
            "fax_number": "651-846-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 SELBY AVE",
            "address_2": "SUITE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046218",
            "telephone_number": "651-231-9936",
            "fax_number": "651-846-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN RYAN DEAN PHD LP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-231-9936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "5397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Dean PhD LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.