Alex J Marie, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4525 Issued in MN

Practice address

790 Cleveland Ave S
Suite 217
Saint Paul, MN 55116-3858

Phone

(952) 250-7549

Fax

(651) 698-0712

NPI assigned

Dec 21, 2006

Last updated

Mar 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Relate Inc

  dba Relate

  • Community/Behavioral Health Agency
  • Minnetonka, MN
  • NPI 1053486902
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1568526705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S",
            "address_2": "SUITE 217",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163858",
            "telephone_number": "952-250-7549",
            "fax_number": "651-698-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S",
            "address_2": "SUITE 217",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163858",
            "telephone_number": "952-250-7549",
            "fax_number": "651-698-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIE",
        "first_name": "ALEX",
        "middle_name": "J",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710717000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marette, MS, LPCC
• Margaret Kellogg, Inc
• Candace Dee Margulies, LICSW
• Marian Center
• Christopher Joseph Mariani, MD, PHD
• Karen Joy Marienau, M.D., MPH
• Michael Marier
• Mariken Wogstad-Hansen, PHD, LLC
• Mariken Wogstad-Hansen, PHD, LLC
• John J Marini, MD

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.