Individual provider Active NPI

Meridee Rilen, PSY.D., LP

  • Mental Health Counselor
  • Edina, MN
National Provider Identifier
1790841773
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7401 Metro Blvd Ste 525
Edina, MN 55439-3059
Phone
(612) 268-5858
Fax
(612) 268-5868
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 23007 CA
Clinical Psychologist 103TC0700X LP 5842 MN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

7401 Metro Blvd Ste 525
Edina, MN 55439-3059

Mailing address

7401 Metro Blvd Ste 525
Edina, MN 55439-3059
Phone (612) 268-5858

Other practice location 1

5275 Edina Industrial Blvd
Suite 203
Edina, MN 55439
Phone (612) 564-5865

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
I20190220001674 MN Practitioner - Clinical Psychologist 5294073003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Affinity Psychological Services PCGroup PAC ID 0749528552, 66 clinicians

Practice addresses (Care Compare)

3400 1St St N
Suite 101
Saint Cloud, MN 56303-1924
Phone (612) 268-5858

7401 Metro Blvd
Suite 250
Edina, MN 55439-3062
Phone (612) 268-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 23007CAMDClinical Psychologist
LP 5842MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Psychological Services, P.C. Mental Health CurrentSince Nov 27, 2018 Accepting new patients

Locations

7601 145th St W
Apple Valley, MN 55124
Phone (612) 497-1992

5275 Edina Industrial Blvd
Ste 203
Edina, MN 55439
Phone (612) 564-5865

7401 Metro Blvd
Ste 250
Minneapolis, MN 55439
Phone (612) 778-8393

7401 Metro Blvd
Ste 525
Minneapolis, MN 55439

3400 1st St N
Ste 101
Saint Cloud, MN 56303
Phone (320) 202-2000

7551 9th St N
Ste 100
Saint Paul, MN 55128
Phone (651) 747-4328

Organizations & group practices 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1790841773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 525",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393059",
            "telephone_number": "612-268-5858",
            "fax_number": "612-268-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 525",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393059",
            "telephone_number": "612-268-5858",
            "fax_number": "612-268-5868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5275 Edina Industrial Blvd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "55439",
            "country_code": "US",
            "telephone_number": "612-564-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEN",
        "first_name": "MERIDEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23007",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 5842",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.