Individual provider Active NPI

John K McAlpine, PH.D., LP

  • Clinical Psychologist
  • West Lakeland, MN
National Provider Identifier
1962597393
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1097 Issued in MN
Practice address
15340 Painters LN N
West Lakeland, MN 55082-1640
Phone
(612) 619-2577
Fax
(651) 481-3907
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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 LP1097 MN Primary

Addresses

Primary practice location

15340 Painters LN N
West Lakeland, MN 55082-1640

Mailing address

15340 Painters LN N
West Lakeland, MN 55082-1640
Phone (612) 619-2577

Other identifiers 6

IdentifierTypeStateIssuer
865T7MCOtherMNBCBS
850048700MedicaidMN
001508821002OtherMNUNITED HEALTHCARE
104218OtherMNUCARE
6126382OtherMNUBH AND MEDICA
HP18505OtherMNHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP1097MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nufactor Inc PastSince Jul 17, 2012 Accepting new patients
Bohn Counseling Associates, Inc, Clinical Past Accepting new patients
Outreach Counseling & Consulting Services, Inc. Clinical Past Accepting new patients
Supportive Journeys Psychotherapy, LLC Past Accepting new patients

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1962597393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 PAINTERS LN N",
            "city": "WEST LAKELAND",
            "state": "MN",
            "postal_code": "550821640",
            "telephone_number": "612-619-2577",
            "fax_number": "651-481-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 PAINTERS LN N",
            "city": "WEST LAKELAND",
            "state": "MN",
            "postal_code": "550821640",
            "telephone_number": "612-619-2577",
            "fax_number": "651-481-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALPINE",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "865T7MC",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850048700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "001508821002",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "104218",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH AND MEDICA",
            "identifier": "6126382",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP18505",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lakeland, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.