Active NPI
Denise A Marvinney, PHD LP
- Psychologist
- St Paul, MN
National Provider Identifier
1700999331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3513
- Practice address
- 347 North Smith Avenue
Childrens Specialty Clinic Psychological Services STPL
St Paul, MN 55102 - Phone
- (651) 220-6720
- Fax
- (651) 220-6707
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP3513 | MN | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | LP3513 | MN | |
| Health Service Psychologist | 103TH0100X | LP3513 | MN | |
| Psychologist | 103T00000X | LP3513 | MN | Primary |
Addresses
Primary practice location
347 North Smith Avenue
Childrens Specialty Clinic Psychological Services STPL
St Paul, MN 55102
Mailing address
2910 Centre Pointe Drive
35-121A
Roseville, MN 55113
Phone (651) 855-2327
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3513 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1700999331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CENTRE POINTE DRIVE",
"address_2": "35-121A",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-855-2327",
"fax_number": "651-855-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 NORTH SMITH AVENUE",
"address_2": "CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-220-6720",
"fax_number": "651-220-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVINNEY",
"first_name": "DENISE",
"middle_name": "A",
"credential": "PHD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP3513",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MN",
"license": "LP3513",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MN",
"license": "LP3513",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.