Individual provider Active NPI

Priyanka Rao, PSYD

  • Psychologist
  • Edina, MN
National Provider Identifier
1962971358
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5200 Willson Rd Ste 210
Edina, MN 55424-1343
Phone
(612) 324-0581
NPI assigned
Nov 15, 2018
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

5200 Willson Rd Ste 210
Edina, MN 55424-1343

Mailing address

2911 Enterprise Ave Ste a
Hastings, MN 55033-4157
Phone (612) 200-1504

Other practice location 1

2911 Enterprise Ave Ste A
Hastings, MN 55033-4157
Phone (612) 324-0581

Other practice location 2

7401 Metro Blvd Ste 500
Edina, MN 55439-3069
Phone (612) 324-0581

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asha Mental Health, LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

5200 Willson Rd
Ste 210
Edina, MN 55424
Phone (612) 787-2475

2911 Enterprise Ave
Ste A
Hastings, MN 55033
Phone (612) 200-1504

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, 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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1962971358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ENTERPRISE AVE STE A",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550334157",
            "telephone_number": "612-200-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241343",
            "telephone_number": "612-324-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Enterprise Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550334157",
            "country_code": "US",
            "telephone_number": "612-324-0581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7401 Metro Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554393069",
            "country_code": "US",
            "telephone_number": "612-324-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "PRIYANKA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.