Individual provider Active NPI

Harold Baumchen, PSY. D, L.P.

  • Clinical Psychologist
  • Chanhassen, MN
National Provider Identifier
1700811866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP2484 Issued in MN
Practice address
7945 Stone Creek Dr
Suite 140
Chanhassen, MN 55317-4605
Phone
(952) 974-3999
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP2484 MN Primary

Addresses

Primary practice location

7945 Stone Creek Dr
Suite 140
Chanhassen, MN 55317-4605

Mailing address

7945 Stone Creek Dr
Suite 140
Chanhassen, MN 55317-4605
Phone (952) 974-3999

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
I20041115000164 MN Practitioner - Clinical Psychologist 8022072644 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP2484MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Regional CurrentSince Dec 20, 2015 Accepting new patients
Northstar Regional Current Accepting new patients

Locations

7945 Stone Creek Dr
Ste 140
Chanhassen, MN 55317
Phone (952) 856-3932

1045 Stoughton Ave
Chaska, MN 55318
Phone (952) 448-6557

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700811866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR",
            "address_2": "SUITE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174605",
            "telephone_number": "952-974-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR",
            "address_2": "SUITE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174605",
            "telephone_number": "952-974-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMCHEN",
        "first_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "PSY. D, L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.