Individual provider Active NPI

Ryan Rahm-Knigge, PHD LP

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1720670029
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP6854 Issued in MN
Practice address
1300 S 2ND St Ste 180
Minneapolis, MN 55454-5000
Phone
(605) 360-8925
NPI assigned
Feb 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP6854 MN Primary

Addresses

Primary practice location

1300 S 2ND St Ste 180
Minneapolis, MN 55454-5000

Mailing address

1300 S 2ND St Ste 180
Minneapolis, MN 55454-5000
Phone (612) 625-1562

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
I20221027001400 MN Practitioner - Clinical Psychologist 2365819778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

1300 S 2ND St
Suite 180
Minneapolis, MN 55454-5000
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Nov 30, 2022 Accepting new patients
Fairview Express Care CurrentSince Nov 30, 2022 Accepting new patients

Locations

1300 S 2nd St
Ste 180
Minneapolis, MN 55454
Phone (612) 625-1500

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1720670029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 2ND ST STE 180",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554545000",
            "telephone_number": "612-625-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 2ND ST STE 180",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554545000",
            "telephone_number": "605-360-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHM-KNIGGE",
        "first_name": "RYAN",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.