Individual provider Active NPI

Rebecca Kristine Getz, PSYD LP

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1972580579
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4515 Issued in MN
Practice address
2383 University Ave W
Ste 200
Saint Paul, MN 55114-1603
Phone
(651) 644-4100
Fax
(651) 644-4885
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4515 MN Primary

Addresses

Primary practice location

2383 University Ave W
Ste 200
Saint Paul, MN 55114-1603

Mailing address

2383 University Ave W
Suite 200
Saint Paul, MN 55114-1603
Phone (651) 644-4100

Other identifiers 2

IdentifierTypeStateIssuer
298L3GEOtherMNBCBS OF MN
832955900MedicaidMN

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
I20050517000134 MN Practitioner - Clinical Psychologist 3375584709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Minnesota Center for Psychology, LLCGroup PAC ID 2264583954, 15 clinicians

Practice addresses (Care Compare)

2324 University W Ave
Suite 120
Saint Paul, MN 55114-1854
Phone (651) 644-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Recovery Inc Psychologist PastSince May 15, 2009 Accepting new patients
Psychiatric Recovery PA Past Accepting new patients

Organizations & group practices 3

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1972580579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 UNIVERSITY AVE W",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141603",
            "telephone_number": "651-644-4100",
            "fax_number": "651-644-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 UNIVERSITY AVE W",
            "address_2": "STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141603",
            "telephone_number": "651-644-4100",
            "fax_number": "651-644-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETZ",
        "first_name": "REBECCA",
        "middle_name": "KRISTINE",
        "credential": "PSYD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "298L3GE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832955900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.