Yohance Rushied Pickett, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5348 Issued in MN

Practice address

9637 Anderson Lakes Pkwy
Suite 162
Eden Prairie, MN 55344-4155

Phone

(952) 944-5502

NPI assigned

Jul 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hennepin CountyGroup PAC ID 7911892849, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Brain Health Group LLC

  • Clinical Neuropsychologist
  • Eden Prairie, MN
  • NPI 1477144384
  Medicare reassignment NPD Authorized official
• Hennepin County

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1780790345

  Clinical

  Medicare reassignment Care Compare group NPD
• Hennepin County

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1962147413
  NPD

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1598052672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 VIRGINIA ST",
            "address_2": "22",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022281",
            "telephone_number": "626-354-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9637 ANDERSON LAKES PKWY",
            "address_2": "SUITE 162",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553444155",
            "telephone_number": "952-944-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "YOHANCE",
        "middle_name": "RUSHIED",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W. Phillips, APRN
• Phoenixrisen Counseling
• Ann Piatt
• Adam Piccolino, PSY.D.
• Gina Picht, CD(DONA)
• Jacqueline Pieper
• Lily M Pieper, LICSW
• Rachel Maguy Pierre, ARNP-FNP-BC
• Bridget Ann Pikkarainen, CNP
• Pillars Behavioral Health

• Clinical Psychologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.

Verify at the official NPI Registry.