Active NPI
Signe Bobbitt
- Clinical Psychologist
- Woodbury, MN
National Provider Identifier
1609941889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3943
- Practice address
- 8675 Valley Creek Road
Woodbury, MN 55125-2337 - Phone
- (651) 241-3000
- Fax
- (651) 241-3500
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3943 | MN | Primary |
Addresses
Primary practice location
8675 Valley Creek Road
Woodbury, MN 55125-2337
Mailing address
2455 Hampshire CT
Mendota Heights, MN 55120-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820483700 | Other | MN | MEDICAL ASSISTANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3943 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1609941889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 HAMPSHIRE CT",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8675 VALLEY CREEK ROAD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252337",
"telephone_number": "651-241-3000",
"fax_number": "651-241-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBBITT",
"first_name": "SIGNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "3943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "820483700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.