Alex Uspensky, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

28060 Issued in MN

Practice address

5851 Duluth Street
Suite 311
Golden Valley, MN 55422

Phone

(763) 541-9806

Fax

(763) 541-9821

NPI assigned

Nov 14, 2005

Last updated

Nov 29, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Specialty

Psychiatry

Education

Other, 1969

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.44 of 100Reported as group

Quality

82.65

Promoting interoperability

100

Improvement activities

40

Cost

77.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northwest Psychology Consultants PA

  • Psychiatry Physician
  • Golden Valley, MN
  • NPI 1104933225
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1912989203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH STREET",
            "address_2": "SUITE 311",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-541-9806",
            "fax_number": "763-541-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH STREET",
            "address_2": "SUITE 311",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-541-9806",
            "fax_number": "763-541-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USPENSKY",
        "first_name": "ALEX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "28060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097880900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1553355",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "57822US",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Kai Ullery, CNP, APRN, DNP
• Mary Louise Ulrickson, MD
• Unihealth Home Care, LLC
• Upward Support Services, LLC
• US Neurosurgery Associates, PLLC
• Luke Utecht, PSY.D.
• Paige Elizabeth Vaden, PT, DPT
• Valley Health
• Jensen Van Duyse, LADC
• Vanda Counseling and Psychological Services

• Psychiatry Physician in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.