Individual provider Active NPI

Alison Dolan, PSYD, LP

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1508319823
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2000 Aldrich Ave S
Minneapolis, MN 55405-3003
Phone
(612) 223-8898
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2000 Aldrich Ave S
Minneapolis, MN 55405-3003

Mailing address

2000 Aldrich Ave S
Minneapolis, MN 55405-3003
Phone (612) 223-8898

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
I20180503002076 MN Practitioner - Clinical Psychologist 2264796929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado PC Psychologist CurrentSince Dec 20, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Dec 20, 2024 Accepting new patients

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

8980 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 501-1467

501 N Riverfront Dr
Mankato, MN 56001
Phone (612) 223-8988

11671 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (763) 585-0600

310 Clifton Ave
Minneapolis, MN 55403
Phone (612) 284-2870

3601 Minnesota Dr
Ste 575
Minneapolis, MN 55435
Phone (612) 799-8975

204 W Franklin Ave
Minneapolis, MN 55404
Phone (612) 223-8899

4100 Berkshire Ln N
Ste 250
Plymouth, MN 55446

4100 Berkshire Ln N
#250
Plymouth, MN 55446

1155 Northland Dr
Saint Paul, MN 55120
Phone (612) 223-8899

7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899

Organizations & group practices 3

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1508319823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ALDRICH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554053003",
            "telephone_number": "612-223-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ALDRICH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554053003",
            "telephone_number": "612-223-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "ALISON",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.