Active NPI
Steven Peter Daffinrud, MA LP
- Psychologist
- Saint Cloud, MN
National Provider Identifier
1801878426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3707
- Practice address
- 600 25TH Ave S
Roosevelt Office Park Suite 109
Saint Cloud, MN 56301-4841 - Phone
- (320) 255-0343
- Fax
- (320) 654-0318
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 | LP3707 | MN | Primary |
Addresses
Primary practice location
600 25TH Ave S
Roosevelt Office Park Suite 109
Saint Cloud, MN 56301-4841
Mailing address
600 25TH Ave S
Roosevelt Office Park Suite 109
Saint Cloud, MN 56301-4841
Phone (320) 255-0343
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3041301 | Other | MN | BHP |
| 625T442 | Other | UBH | |
| S01906459 | Other | MMSI | |
| 7144245 | Medicaid | MN | |
| 314K4DA | Other | MN | BCBS BLUE PLUS COMPCARE |
| 116812 | Other | MN | U CARE |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3707 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801878426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 25TH AVE S",
"address_2": "ROOSEVELT OFFICE PARK SUITE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014841",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 25TH AVE S",
"address_2": "ROOSEVELT OFFICE PARK SUITE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014841",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAFFINRUD",
"first_name": "STEVEN",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "MA LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHP",
"identifier": "3041301",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "625T442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMSI",
"identifier": "S01906459",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7144245",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BLUE PLUS COMPCARE",
"identifier": "314K4DA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "116812",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.