Individual provider Active NPI

Maggie Clare Happe, PSYD, LP

  • Clinical Psychologist
  • Sartell, MN
National Provider Identifier
1871619718
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP 4756 Issued in MN
Practice address
111 2ND St S
Sartell, MN 56377-1917
Phone
(320) 281-3339
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP 4756 MN Primary

Addresses

Primary practice location

111 2ND St S
Sartell, MN 56377-1917

Mailing address

111 2ND St S
Sartell, MN 56377-1917
Phone (320) 281-3339

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
I20220413002724 MN Practitioner - Clinical Psychologist 9234525502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sartell Pediatrics PAGroup PAC ID 1759788185, 4 clinicians

Practice addresses (Care Compare)

111 2ND St S
Sartell, MN 56377-1917
Phone (320) 281-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP 4756MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sartell Pediatrics, P.a. CurrentSince Jan 15, 2022 Accepting new patients

Locations

111 2nd St S
Sartell, MN 56377
Phone (320) 281-3339

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12435/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maggie.happe.1@33161.direct.athenahealth.com

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1871619718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771917",
            "telephone_number": "320-281-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771917",
            "telephone_number": "320-281-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAPPE",
        "first_name": "MAGGIE",
        "middle_name": "CLARE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 4756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.