Organization Active NPI

Robert B Clift PH D PA

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1720132848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP1748 Issued in MN
Legal business name
ROBERT B CLIFT PH D PA
Practice address
6950 France Ave South
Suite 103
Minneapolis, MN 55035
Phone
(612) 250-4113
Fax
(651) 351-0490
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert B Clift, PH D
Title
Director
Phone
(612) 250-4113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP1748 MN Primary

Addresses

Primary practice location

6950 France Ave South
Suite 103
Minneapolis, MN 55035

Mailing address

PO Box 227
Marine, MN 55047-0227
Phone (612) 250-4113

Other names 1

  • Psychometric Laboratories Doing business as

National Provider Directory

National Provider Directory

Locations

6950 France Ave S
Ste 103
Minneapolis, MN 55435
Phone (952) 885-9018

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720132848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "MARINE",
            "state": "MN",
            "postal_code": "550470227",
            "telephone_number": "612-250-4113",
            "fax_number": "651-351-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 FRANCE AVE SOUTH",
            "address_2": "SUITE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55035",
            "telephone_number": "612-250-4113",
            "fax_number": "651-351-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B CLIFT PH D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIFT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-250-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychometric Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.