Individual provider Active NPI

Hina Zamir Siddiqui, PSY.D. L.P

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1649450883
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4871 Issued in MN
Practice address
8675 Valley Creek Rd
Saint Paul, MN 55125-2337
Phone
(651) 241-3000
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP4871 MN
Psychologist 103T00000X LP4871 MN Primary

Addresses

Primary practice location

8675 Valley Creek Rd
Saint Paul, MN 55125-2337

Mailing address

1015 Interlachen Pkwy
Woodbury, MN 55125-8852
Phone (651) 245-3498

Other practice location 1

1303 S Frontage Rd Ste 219
Hastings, MN 55033-2688
Phone (651) 323-1674

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hsiddiqui98953@excellian.direct.allina.com Direct

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
I20071218000330 MN Practitioner - Clinical Psychologist 5597855452 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP4871MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insights Psychology, LLC Clinical CurrentSince Jul 13, 2020 Accepting new patients

Locations

8120 Penn Ave S
Ste 140
Bloomington, MN 55431
Phone (651) 273-1245

1303 S Frontage Rd
Ste 219
Hastings, MN 55033
Phone (218) 670-5467

6043 Hudson Rd
Ste 350
Woodbury, MN 55125
Phone (651) 273-1245

Organizations & group practices 1

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1649450883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 INTERLACHEN PKWY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258852",
            "telephone_number": "651-245-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 VALLEY CREEK RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551252337",
            "telephone_number": "651-241-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 S Frontage Rd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550332688",
            "country_code": "US",
            "telephone_number": "651-323-1674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "HINA",
        "middle_name": "ZAMIR",
        "credential": "PSY.D. L.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4871",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsiddiqui98953@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "8675 Valley Creek Rd",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551252337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.