Individual provider Active NPI

Elizabeth Hayes, PSY.D., LP

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1619996352
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4495 Issued in MN
Practice address
821 Raymond Ave
Suite 200
Saint Paul, MN 55114-1503
Phone
(651) 645-8300
Fax
(651) 645-4603
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4495 MN Primary

Addresses

Primary practice location

821 Raymond Ave
Suite 200
Saint Paul, MN 55114-1503

Mailing address

821 Raymond Ave
Suite 200
Saint Paul, MN 55114-1503
Phone (651) 645-8300

Other identifiers 4

IdentifierTypeStateIssuer
131976OtherMNUC
297L6HAOtherMNBCBS
1042522OtherMNP1
42392OtherMNHP

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
I20041129000175 MN Practitioner - Clinical Psychologist 6002871357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

821 Raymond Ave
Suite 200
Saint Paul, MN 55114-1509
Phone (651) 645-2890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4495MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Hayes, Psy.D., L.P., PLLC Clinical CurrentSince Feb 28, 2008 Accepting new patients
Minnesota Center for Psychology, LLC PastSince May 11, 2009 Accepting new patients

Locations

821 Raymond Ave
Ste 200
Saint Paul, MN 55114
Phone (651) 216-8899

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1619996352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-645-8300",
            "fax_number": "651-645-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-645-8300",
            "fax_number": "651-645-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UC",
            "identifier": "131976",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "297L6HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P1",
            "identifier": "1042522",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HP",
            "identifier": "42392",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.