Active NPI
Deborah Rich, PH.D., LP
- Psychologist
- Saint Paul, MN
National Provider Identifier
1710101290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1281
- Practice address
- 1619 Dayton Ave Ste 201
Saint Paul, MN 55104 - Phone
- (651) 645-5504
- Fax
- (651) 404-2512
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1281 | MN | Primary |
Addresses
Primary practice location
1619 Dayton Ave Ste 201
Saint Paul, MN 55104
Mailing address
1619 Dayton Ave Ste 201
Saint Paul, MN 55104-6276
Phone (651) 645-5504
Other practice location 1
570 Asbury St
#310
Saint Paul, MN 55104-1849
Phone (651) 659-9971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18G09RI | Other | MN | BLUE CROSS BS PIN NUMBER |
| 18G08RI | Other | MN | BLUE CROSS BS GROUP NUMBE |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1281 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1710101290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 DAYTON AVE STE 201",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046276",
"telephone_number": "651-645-5504",
"fax_number": "651-404-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 DAYTON AVE STE 201",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-645-5504",
"fax_number": "651-404-2512"
}
],
"practiceLocations": [
{
"address_1": "570 Asbury St",
"address_2": "#310",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551041849",
"country_code": "US",
"telephone_number": "651-659-9971",
"fax_number": "651-603-8528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICH",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "PH.D., LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "1281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BS PIN NUMBER",
"identifier": "18G09RI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BS GROUP NUMBE",
"identifier": "18G08RI",
"state": "MN"
}
],
"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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.