Active NPI
Margaret Dwyer Lee, PSYD LP
- Psychologist
- St Cloud, MN
National Provider Identifier
1992863484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3586
- Practice address
- 1406 6TH Avenue North
St Cloud Hospital
St Cloud, MN 56303-1901 - Phone
- (320) 251-2700
- Fax
- (320) 656-7115
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP3586 | MN | |
| Psychologist | 103T00000X | LP3586 | MN | Primary |
Addresses
Primary practice location
1406 6TH Avenue North
St Cloud Hospital
St Cloud, MN 56303-1901
Mailing address
1406 6TH Avenue North
St Cloud Hospital
St Cloud, MN 56303-1901
Phone (320) 251-2700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013101 | Other | PREFERRED ONE | |
| 6143788 | Other | UBH | |
| 6H677DW | Other | BLUE CROSS | |
| 116131 | Other | UCARE | |
| 561724300 | Medicaid | MN |
Other names 1
- Margaret Mary Dwyer
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1992863484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 6TH AVENUE NORTH",
"address_2": "ST CLOUD HOSPITAL",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563031901",
"telephone_number": "320-251-2700",
"fax_number": "320-656-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 6TH AVENUE NORTH",
"address_2": "ST CLOUD HOSPITAL",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563031901",
"telephone_number": "320-251-2700",
"fax_number": "320-656-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MARGARET",
"middle_name": "DWYER",
"credential": "PSYD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP3586",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1013101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6143788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "6H677DW",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "116131",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "561724300",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "DWYER",
"middle_name": "MARY",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.