Organization Active NPI

Gina Dilly

  • Cognitive & Behavioral Psychologist
  • Rochester, MN
National Provider Identifier
1811416670
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
GINA DILLY
Practice address
300 1St Ave NW Ste 200
Rochester, MN 55901-2830
Phone
(507) 292-1600
Fax
(507) 292-1600
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Gina Arline Dilly, LP
Title
Licensed Psychologist
Phone
(507) 292-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

300 1St Ave NW Ste 200
Rochester, MN 55901-2830

Mailing address

300 1St Ave NW Ste 200
Rochester, MN 55901-2830
Phone (507) 292-1600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811416670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST AVE NW STE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012830",
            "telephone_number": "507-292-1600",
            "fax_number": "507-292-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST AVE NW STE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012830",
            "telephone_number": "507-292-1600",
            "fax_number": "507-292-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA DILLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DILLY",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "ARLINE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "507-292-1600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.