Active NPI
Donald E Wiger, PHD
- Psychologist
- Saint Paul, MN
National Provider Identifier
1568556009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP2923
- Practice address
- 360 N Robert St #317
St Paul, MN 55101 - Phone
- (651) 983-0383
- Fax
- (651) 337-0084
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- 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 | LP2923 | MN | Primary |
Addresses
Primary practice location
360 N Robert St #317
St Paul, MN 55101
Mailing address
360 N Robert St #317
St Paul, MN 55101
Phone (651) 983-0383
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-19333 | Other | MN | MEDICA |
| 990991946897 | Other | MN | PREFERREDONE |
| 108690 | Other | MN | UCARE |
| 45Q81WI | Other | MN | BLUE CROSS/BLUE SHIELD |
| 411891484 39069 | Other | MN | HEALTH PARTNERS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1568556009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 N ROBERT ST #317",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55101",
"telephone_number": "651-983-0383",
"fax_number": "651-337-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N ROBERT ST #317",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55101",
"telephone_number": "651-983-0383",
"fax_number": "651-337-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGER",
"first_name": "DONALD",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP2923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "61-19333",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "990991946897",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "108690",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "45Q81WI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "411891484 39069",
"state": "MN"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.