David Judson Decker, MA, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 0342 Issued in MN

Practice address

1619 Dayton Ave
Suite 321
Saint Paul, MN 55104-6206

Phone

(651) 646-4325

Fax

(651) 646-4325

NPI assigned

Jun 6, 2006

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1598704082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE",
            "address_2": "SUITE 321",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046206",
            "telephone_number": "651-646-4325",
            "fax_number": "651-646-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE",
            "address_2": "SUITE 321",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046206",
            "telephone_number": "651-646-4325",
            "fax_number": "651-646-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "DAVID",
        "middle_name": "JUDSON",
        "credential": "MA, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 0342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Debol, MD
• Deborah Fletcher M.D., L.L.C.
• Kathleen Anne Johnson Debow, PHD, LP
• Philip J Dech, MD
• Linda Dechaine
• Kayla Rae Deckert
• Meghan Deering
• Maria Elena Defernandes, P.T.
• Kathryn Marie Defoe, DO
• Madisyn Nicole Defranco

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.