Active NPI
Carol Ruth Newman, LP
- Psychologist
- Saint Paul, MN
National Provider Identifier
1770690083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3321
- Practice address
- 855 Martha Lake Court
Saint Paul, MN 55126 - Phone
- (218) 429-5282
- NPI assigned
- Aug 23, 2006
- 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 | LP3321 | MN | Primary |
Addresses
Primary practice location
855 Martha Lake Court
Saint Paul, MN 55126
Mailing address
855 Village Center Dr # 359
Saint Paul, MN 55127-3016
Phone (218) 429-5282
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6256700 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 287T4NE | Other | MN | BCBS OF MN PROVIDER |
| 87766 | Other | MN | HEALTH PARTNERS |
| 277517400 | Medicaid | MN | |
| 98556 | Other | MN | MAYO (MMSI) |
| 118235 | Other | MN | UCARE |
| 287T5NE | Other | MN | BCBS OF MN INDIVIDUAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3321 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1770690083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 VILLAGE CENTER DR # 359",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551273016",
"telephone_number": "218-429-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MARTHA LAKE COURT",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55126",
"telephone_number": "218-429-5282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "CAROL",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6256700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN PROVIDER",
"identifier": "287T4NE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "87766",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277517400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAYO (MMSI)",
"identifier": "98556",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "118235",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN INDIVIDUAL",
"identifier": "287T5NE",
"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 Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.