NPIMap

Organization Active NPI

Oliver Ross Psychology and Consulting LLC

  • Group Psychotherapy Psychologist
  • Saint Paul, MN
National Provider Identifier
1689030231
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
OLIVER ROSS PSYCHOLOGY AND CONSULTING LLC
Practice address
771 Raymond Ave
Saint Paul, MN 55114-1522
Phone
(651) 243-2292
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Oliver Ross, PSY.D.NPI 1295100881
Title
Clinical Psychologist
Phone
(612) 275-4193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

771 Raymond Ave
Saint Paul, MN 55114-1522

Mailing address

771 Raymond Ave
Saint Paul, MN 55114-1522
Phone (651) 243-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160412001527 MN Part B Supplier - Clinic/Group Practice 0244538064 Receives reassigned benefits from 10 practitioners
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

3802 Grand Ave S
#A
Minneapolis, MN 55409
Phone (612) 369-0769

771 Raymond Ave
Saint Paul, MN 55114
Phone (612) 235-6743

1595 Selby Ave
Ste 112
Saint Paul, MN 55104
Phone (612) 206-1259

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1689030231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 RAYMOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141522",
            "telephone_number": "651-243-2292",
            "fax_number": "833-440-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 RAYMOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141522",
            "telephone_number": "651-243-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER ROSS PSYCHOLOGY AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-275-4193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.