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DR. NAN C TRUITT PH.D. LP NPI 1629150479


NPI Information

NPI: 1629150479
Provider Name: DR. NAN C TRUITT, PH.D., LP
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
265 PHALEN BLVD
SAINT PAUL, MN
ZIP 55130
Phone: (651) 495-6603
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DR. Nan C Truitt, PH.D., LP is a clinical neuropsychologist in Saint Paul, MN. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Nan C Truitt, PH.D., LP NPI is 1629150479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

265 PHALEN BLVD
SAINT PAUL, MN
ZIP 55130-400
Phone: (651) 495-6603

The NPI 1629150479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes (HCPCS:90837)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Psychotherapy, 45 minutes (HCPCS:90834)

The enumeration date for this NPI number is 10/20/2006 and was last updated on 10/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist593ALASKANo
2103TA0400XPsychologistAddiction (Substance Use Disorder)593ALASKANo
3103TC0700XPsychologistClinical593ALASKANo
4103TF0200XPsychologistForensic593ALASKANo
5103TM1800XPsychologistIntellectual and Developmental Disabilities593ALASKANo
6103G00000XClinical Neuropsychologist5880MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11029222MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.