Eleanor Donovan Tripp, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP7022 Issued in MN

Practice address

1400 Van Buren St NE
Ste 200 #27
Minneapolis, MN 55413-3017

Phone

(715) 969-9212

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CGC LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1699239566
  Medicare reassignment NPD
• Awaken & Align PLLC

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1215777248
  NPD Authorized official
• Awaken & Align PLLC

  • Clinical Psychologist
  • Ypsilanti, MI
  • NPI 1699422469
  NPD Authorized official

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1972033462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VAN BUREN ST NE",
            "address_2": "STE 200 #27",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133017",
            "telephone_number": "715-969-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VAN BUREN ST NE",
            "address_2": "STE 200 #27",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133017",
            "telephone_number": "715-969-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "ELEANOR",
        "middle_name": "DONOVAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP7022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trillium Midwifery Care
• Mary Beth Trine, MS, CCC-A
• Erin Janell Tripolino, CD(DONA)
• Azania Tripp, LGSW
• Chris Tripp, OTRL
• Linda Marie Tripp
• Trinity Tripp
• Aimee M Tritt, RD, LD
• Victoria Trittin, LGSW
• Grishma Trivedi, MD

• Clinical Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.