Active NPI
Amy L Conlon, PH.D., LP
- Psychologist
- Saint Paul, MN
National Provider Identifier
1518503002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP5017
- Practice address
- 680 Stewart Ave
Saint Paul, MN 55102-4117 - Phone
- (800) 257-7800
- NPI assigned
- Nov 20, 2019
- Last updated
- Nov 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP5017 | MN | Primary |
Addresses
Primary practice location
680 Stewart Ave
Saint Paul, MN 55102-4117
Mailing address
5341 Drew Ave S
Minneapolis, MN 55410-2007
Phone (612) 325-2160
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5017 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1518503002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5341 DREW AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554102007",
"telephone_number": "612-325-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 STEWART AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551024117",
"telephone_number": "800-257-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D., LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP5017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.