John Kirby Nash, PH.D, L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP0181 Issued in MN

Practice address

3300 Edinborough Way
Suite 204
Edina, MN 55435-5923

Phone

(952) 844-0619

Fax

(952) 844-0628

NPI assigned

Jan 1, 2007

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

Other identifiers 3

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

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Behavioral Medicine Associates IncGroup PAC ID 7012083405, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Behavioral Medicine Associates, Inc.

  • Cognitive & Behavioral Psychologist
  • Edina, MN
  • NPI 1760549893
  Medicare reassignment Care Compare group
• Arc Therapy Services, LLC

  dba Medical City Hospice & Family Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Arlington, TX
  • NPI 1134805609
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790842821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY",
            "address_2": "SUITE 204",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355923",
            "telephone_number": "952-844-0619",
            "fax_number": "952-844-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY",
            "address_2": "SUITE 204",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355923",
            "telephone_number": "952-844-0619",
            "fax_number": "952-844-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "JOHN",
        "middle_name": "KIRBY",
        "name_prefix": "Dr.",
        "credential": "PH.D, L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN GROUP #",
            "identifier": "4K592BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN INDIVIDUAL #",
            "identifier": "4K592NA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS #",
            "identifier": "074381",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harika Nalluri-Butz, M.D.
• Danielle B Nanigian, M.D
• Kimberly C Naruko-Stewart, M.D.
• Elizabeth Mara Nash, MA LMFT
• Joann Winifred Nash, LADC
• Richard G Nash, MD
• Mohammed K Nashawaty, M.D.
• National Radiology PLLC
• Nature-Centered Counseling & Education LLC
• Evan Natvig, D.C.

• Clinical Psychologist in Edina, MN
• Providers in Edina, 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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.