Organization Active NPI

Maureen Gaffey, Psy. D., LLC.

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1538245287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3649 Issued in MN
Legal business name
MAUREEN GAFFEY, PSY. D., LLC.
Practice address
1600 University Ave W
Suite 303
Saint Paul, MN 55104-3898
Phone
(651) 644-1813
Fax
(651) 644-1870
NPI assigned
Oct 27, 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
Maureen Gaffey, PSY.D.
Title
Chief Manager/Psychologist
Phone
(651) 644-1813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP3649 MN Primary

Addresses

Primary practice location

1600 University Ave W
Suite 303
Saint Paul, MN 55104-3898

Mailing address

1600 University Ave W
Suite 303
Saint Paul, MN 55104-3898
Phone (651) 644-1813

National Provider Directory

National Provider Directory

Locations

1600 University Ave W
Ste 303
Saint Paul, MN 55104
Phone (651) 644-1813

Practitioners & affiliated clinicians

Practitioners 3

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538245287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-644-1813",
            "fax_number": "651-644-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-644-1813",
            "fax_number": "651-644-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN GAFFEY, PSY. D., LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAFFEY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CHIEF MANAGER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-644-1813",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3649",
            "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 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.