Jean M. Birbilis, PH.D., L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0392 Issued in MN

Practice address

2721 Upper Afton Rd E Ste 101
Maplewood, MN 55119-4760

Phone

(651) 739-6167

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679607832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 UPPER AFTON RD E STE 101",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551194760",
            "telephone_number": "651-739-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 UPPER AFTON RD E STE 101",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551194760",
            "telephone_number": "651-739-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRBILIS",
        "first_name": "JEAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "66Q90BI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bickford of Maplewood, LLC
• Joseph Biernat III, D.C
• Todd James Billington, D.D.S.
• Bio-Medical Applications of Minnesota, Inc.
• Birbilis and Associates, P.a.
• Jonathan W. Birdsall, MD
• John Albert Birkland IV, M.A.
• Julie Lynn Bjork, CRNA
• Steven Mark Blazing Jr., BS, LSW
• Margaret Blessing

• Psychologist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.