Individual provider Active NPI

Carol Elizabeth Zempel, PHD LP

  • Psychologist
  • Maplewood, MN
National Provider Identifier
1609098938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP 1320 Issued in MN
Practice address
2580 White Bear Ave N
Suite 206
Maplewood, MN 55109-5166
Phone
(651) 773-9100
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP 1320 MN Primary

Addresses

Primary practice location

2580 White Bear Ave N
Suite 206
Maplewood, MN 55109-5166

Mailing address

PO Box 390141
Edina, MN 55439-0141
Phone (651) 773-9100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050427000124 MN Practitioner - Clinical Psychologist 4789623000 Practice locations: Edina, MN; Maplewood, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2055 White Bear Ave N
Suite 180
Maplewood, MN 55109-3719
Phone (651) 773-9100

5156 Danens Dr
Edina, MN 55439-1403
Phone (651) 773-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP 1320MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609098938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390141",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554390141",
            "telephone_number": "651-773-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 WHITE BEAR AVE N",
            "address_2": "SUITE 206",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095166",
            "telephone_number": "651-773-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMPEL",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 1320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.