Active NPI
Signe Lee Nestingen, PSY. D.
- Clinical Psychologist
- Saint Paul, MN
National Provider Identifier
1639288590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1544
- Practice address
- 2301 Como Ave # 203
Saint Paul, MN 55108-1718 - Phone
- (651) 690-2667
- Fax
- (651) 645-8026
- NPI assigned
- Aug 30, 2006
- Last updated
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP1544 | MN | |
| Clinical Psychologist | 103TC0700X | LP1544 | MN | Primary |
Addresses
Primary practice location
2301 Como Ave # 203
Saint Paul, MN 55108-1718
Mailing address
2301 Como Ave # 203
Saint Paul, MN 55108-1718
Phone (651) 690-2667
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6281969 | Other | MN | MEDICA |
| 34289 | Other | MN | HEALTH PARTNERS |
| 12917NE | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2013 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1544 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1639288590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 COMO AVE # 203",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081718",
"telephone_number": "651-690-2667",
"fax_number": "651-645-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 COMO AVE # 203",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081718",
"telephone_number": "651-690-2667",
"fax_number": "651-645-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESTINGEN",
"first_name": "SIGNE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP1544",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP1544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6281969",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "34289",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12917NE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.