Individual provider Active NPI

Julie Marie Praus, MD

  • Psychiatry Physician
  • St Paul, MN
National Provider Identifier
1699735183
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42241 Issued in MN
Practice address
1919 University Ave W.
Ste 200
St Paul, MN 55104-3453
Phone
(651) 266-7999
Fax
(651) 266-7850
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 042805E PA
Psychologist 103T00000X 28946 IA
Psychologist 103T00000X 18062 NE
Psychologist 103T00000X 42241 MN
Psychiatry Physician 2084P0800X 42241 MN Primary

Addresses

Primary practice location

1919 University Ave W.
Ste 200
St Paul, MN 55104-3453

Mailing address

1919 Universit Ave W.
Ste 200
St. Paul, MN 55104-3453
Phone (651) 266-7999

Other names 1

  • Douglas James Praus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28946IAMDPsychologist
18062NEMDPsychologist
042805EPAMDPsychologist
42241MNMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1699735183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSIT AVE W.",
            "address_2": "STE 200",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551043453",
            "telephone_number": "651-266-7999",
            "fax_number": "651-266-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W.",
            "address_2": "STE 200",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551043453",
            "telephone_number": "651-266-7999",
            "fax_number": "651-266-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAUS",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "042805E",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "28946",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "18062",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "42241",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "42241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "PRAUS",
            "middle_name": "JAMES",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.