Individual provider Active NPI

Shelly L Curran, PHD

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1942380126
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4694 Issued in MN
Practice address
2550 University Ave W
Suite 189S
Saint Paul, MN 55114-1052
Phone
(651) 332-7474
Fax
(651) 332-7475
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4694 MN Primary

Addresses

Primary practice location

2550 University Ave W
Suite 189S
Saint Paul, MN 55114-1052

Mailing address

2550 University Ave W
Suite 189S
Saint Paul, MN 55114-1052
Phone (651) 332-7474

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
I20081218000772 MN Practitioner - Clinical Psychologist 8325016173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3475 Plymouth Blvd
Suite 200
Plymouth, MN 55447-1539
Phone (763) 577-2484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Head and Neck Pain Clinic, PA CurrentSince Sep 4, 2007 Accepting new patients
Minnesota Head and Neck Pain Clinic, PA CurrentSince Sep 4, 2007 Accepting new patients

Locations

675 E Nicollet Blvd
Ste 255
Burnsville, MN 55337
Phone (952) 892-6222

3475 Plymouth Blvd
Ste 200
Plymouth, MN 55447
Phone (763) 577-2484

2550 University Ave W
Ste 189S
Saint Paul, MN 55114
Phone (651) 332-7474

Interoperability endpoints

  • Direct secure messaging: shelly.curran.1@13597.direct.athenahealth.com

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942380126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 189S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-332-7474",
            "fax_number": "651-332-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 189S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-332-7474",
            "fax_number": "651-332-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURRAN",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.