Individual provider Active NPI

Dena Bohn, PSYD, LP

  • Psychologist
  • Oakdale, MN
National Provider Identifier
1821049719
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3257 Issued in MN
Practice address
3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577
Phone
(651) 373-0280
Fax
(651) 203-3504
NPI assigned
May 15, 2006
Last updated
Dec 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3257 MN Primary

Addresses

Primary practice location

3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577

Mailing address

3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577
Phone (651) 373-0280

Other identifiers 3

IdentifierTypeStateIssuer
984241043572OtherMNPREFERRED ONE
471R7B0OtherMNBLUE CROSS
393016500MedicaidMN

Other names 1

  • Dena Bohn Hesch Former name

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
I20071004000746 MN Practitioner - Clinical Psychologist 4789779711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3503 High Point Dr N
Building 3 Suite 230
Oakdale, MN 55128-7577
Phone (651) 373-0280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3257MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bohn Counseling Associates, Inc, CurrentSince Apr 13, 2007 Accepting new patients
Psychological Consultants of So MN PA Psychologist Past Accepting new patients

Locations

3503 Highpoint Dr N
Bldg 3
Saint Paul, MN 55128
Phone (651) 491-0616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1821049719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 HIGHPOINT DR N STE 230",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287577",
            "telephone_number": "651-373-0280",
            "fax_number": "651-203-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 HIGHPOINT DR N STE 230",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287577",
            "telephone_number": "651-373-0280",
            "fax_number": "651-203-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "DENA",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "3257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "984241043572",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "471R7B0",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393016500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "HESCH",
            "middle_name": "BOHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

Verify at the official NPI Registry.