Raja M. David Psy.D., L.P., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4499 Issued in MN

Legal business name

RAJA M. DAVID PSY.D., L.P., LLC

Practice address

1595 Selby Ave
Saint Paul, MN 55104-6221

Phone

(651) 644-4930

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Raja M David, PSY.D.

Title

Licensed Psychologist

Phone

(651) 644-4930

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1922271022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046221",
            "telephone_number": "651-644-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJA M. DAVID PSY.D., L.P., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "RAJA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-644-4930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Saint Paul, MN
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• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.