Individual provider Active NPI

Dion Xavier Darveaux, PHD

  • Psychologist
  • Fergus Falls, MN
National Provider Identifier
1952407751
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5232 Issued in MN
Practice address
121 N Mill St
Fergus Falls, MN 56537-2134
Phone
(218) 736-3035
Fax
(218) 737-0009
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 202 ND
Psychologist 103T00000X LP5232 MN Primary

Addresses

Primary practice location

121 N Mill St
Fergus Falls, MN 56537-2134

Mailing address

121 N Mill St
Fergus Falls, MN 56537-2134
Phone (218) 736-3035

Other identifiers 6

IdentifierTypeStateIssuer
680003342OtherMNMEDICARE PTAN
17001MedicaidND
90687OtherNDSS DISABILITY DETERMINATI
5306OtherNDBLUE CROSS BLUE SHIELD
N717973OtherNDMEDICARE PTAN
574458100MedicaidMN

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
I20120719000363 MN Practitioner - Clinical Psychologist 2163688193 Practice locations: Fergus Falls, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 N Mill St
Fergus Falls, MN 56537-2134
Phone (218) 736-3035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP5232MNMDPsychologist
202NDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Psychological Services PC Past Accepting new patients

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1952407751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MILL ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372134",
            "telephone_number": "218-736-3035",
            "fax_number": "218-737-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MILL ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372134",
            "telephone_number": "218-736-3035",
            "fax_number": "218-737-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARVEAUX",
        "first_name": "DION",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ND",
            "license": "202",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "680003342",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS DISABILITY DETERMINATI",
            "identifier": "90687",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5306",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "N717973",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574458100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.