Active NPI
Jonathan C. Hoistad, PH.D.
- Psychologist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP1788
- Practice address
- 1821 University Ave W Ste 155
Saint Paul, MN 55104-2880 - Phone
- (612) 800-6500
- Fax
- (612) 800-6501
- NPI assigned
- Aug 20, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1535-057 | WI | |
| Psychologist | 103T00000X | 716 | MN | |
| Psychologist | 103T00000X | LP1788 | MN | Primary |
Addresses
Primary practice location
1821 University Ave W Ste 155
Saint Paul, MN 55104-2880
Mailing address
1821 University Ave W Ste 155
Saint Paul, MN 55104-2880
Phone (612) 800-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1821 University Ave W
Suite 155
Saint Paul, MN 55104-2880
Phone (612) 800-6500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 716 | MN | MD | Psychologist |
| LP1788 | MN | MD | Psychologist |
| 1535-057 | WI | MD | Psychologist |
| 1535 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalis Outcomes, LLC | Current | Accepting new patients | |
| St Croix County | Current | Accepting new patients | |
| St Croix County | Current | Accepting new patients | |
| West Central Counseling LLC | Past | Accepting new patients |
Locations
1821 University Ave W
Ste 155
Saint Paul, MN 55104
Phone (612) 800-6500
855 Village Center Dr
Saint Paul, MN 55127
Phone (651) 232-1978
1445 N 4th St
New Richmond, WI 54017
Phone (715) 246-6991
1752 Dorset Ln
New Richmond, WI 54017
Phone (715) 246-6991
Organizations & group practices 4
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.
-
- Case Management Agency
- Saint Paul, MN
- NPI 1558761981
-
dba St Croix County Health and Human Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Richmond, WI
- NPI 1932265105
-
dba St. Croix County Public Health
- Public Health or Welfare Agency
- New Richmond, WI
- NPI 1659553618
-
- Mental Health Counselor
- Alexandria, MN
- NPI 1649846650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1588779292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 UNIVERSITY AVE W STE 155",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042880",
"telephone_number": "612-800-6500",
"fax_number": "612-800-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 UNIVERSITY AVE W STE 155",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042880",
"telephone_number": "612-800-6500",
"fax_number": "612-800-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOISTAD",
"first_name": "JONATHAN",
"middle_name": "C.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "1535-057",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "716",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP1788",
"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 Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.