Ralph Edmond McKinney, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP0948 Issued in MN

Practice address

10709 Wayzata Blvd
# 202
Minnetonka, MN 55305-5509

Phone

(952) 544-0433

NPI assigned

Feb 21, 2007

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

Other identifiers 1

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

Texas Tech University Health Science Center School of Medicine, 1976

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Vinland National Center

  • Substance Abuse Rehabilitation Facility
  • Loretto, MN
  • NPI 1144329632

  MN

  Medicare reassignment NPD
• Karol, PC

  • Clinical Neuropsychologist
  • Eden Prairie, MN
  • NPI 1053383679

  Clinical

  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598800732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 BALSAM LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421805",
            "telephone_number": "763-559-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 WAYZATA BLVD",
            "address_2": "# 202",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055509",
            "telephone_number": "952-544-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "RALPH",
        "middle_name": "EDMOND",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS-OUT OF NETWORK",
            "identifier": "44M09MC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn McKee
• Bernadette McKenna, MA
• Margaret Ann McKenzie, CFNP
• Sydney McKenzie
• Susan M. McKillip, FNP-C
• Claire McKissick, M.A. CCC-SLP
• MCL Psychological, Inc.
• Natalie Renee McLendon, MSN, APRN, FNP-BC
• Josephine Rose McMurtry
• Pamela Kaye McNallan, PA-C

• All providers in Minnetonka, MN
• Clinical Psychologist in Minnesota

• 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.
• 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.