Daniel Conybeare, PH.D., ABPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6095 Issued in MN

Practice address

1570 Iowa Ave E
Saint Paul, MN 55106-1321

Phone

(319) 270-5380

NPI assigned

Jul 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1760834733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 IOWA AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 IOWA AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061321",
            "telephone_number": "319-270-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONYBEARE",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Convy, MSW, LICSW
• Mary Frances Conway, RN
• Michelle Marie Briggs Conway, CNMT
• Patrick McGinn Conway, DO
• Samuel Lehman Conway, LPCC
• Gail Ann Conzemius, MA RNC NP
• Cook Counseling Services, LLC
• Alison Beth Cook, PHARM D
• Amanda K Cook, M.S.
• Andrew David Cook, D.C.

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.