Active NPI
Ramie Vetter, PSY.D., LP
- Clinical Psychologist
- Fairmont, MN
National Provider Identifier
1992803175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP4919
- Practice address
- 1420 N State St
Fairmont, MN 56031-3619 - Phone
- (507) 235-6070
- Fax
- (507) 235-6074
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4919 | MN | Primary |
Addresses
Primary practice location
1420 N State St
Fairmont, MN 56031-3619
Mailing address
1420 N State St
Fairmont, MN 56031-3619
Phone (507) 235-6070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992803175 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1420 N State St
Fairmont, MN 56031-3619
Phone (507) 235-6070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Counseling Psychologist
- Fairmont, MN
- NPI 1891961710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1992803175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 N STATE ST",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560313619",
"telephone_number": "507-235-6070",
"fax_number": "507-235-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 N STATE ST",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560313619",
"telephone_number": "507-235-6070",
"fax_number": "507-235-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VETTER",
"first_name": "RAMIE",
"name_prefix": "Dr.",
"credential": "PSY.D., LP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992803175",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.