| Robert Roddy M.d. P.a. | |
|
1690 University Ave W #120 St. Paul MN 55104 | |
| (651) 999-0263 | |
| (651) 999-0264 |
| Full Name | Robert Roddy M.d. P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1690 University Ave W, St. Paul, Minnesota |
| Authorized Official Name and Position | Robert Roddy (PSYCHIATRY) |
| Authorized Official Contact | 6519990263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Roddy M.d. P.a. 1690 University Ave W #120 St. Paul MN 55104 Ph: (651) 999-0263 | Robert Roddy M.d. P.a. 1690 University Ave W #120 St. Paul MN 55104 Ph: (651) 999-0263 |
| NPI Number | 1902137425 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Medicare PECOS PAC ID | 6608910658 |
|---|---|
| Medicare Enrollment ID | O20100215000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902137425 | NPI | - | NPPES |
| 459888100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31580 (Minnesota) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 31580 (Minnesota) | Secondary |
| Provider Name | Robert J Roddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831197649 PECOS PAC ID: 4082758032 Enrollment ID: I20100215000679 |
Pathways Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Unitversity Ave W # 6, St. Paul, MN 55104 Phone: 651-641-1555 Fax: 651-641-0340 | |
Emma Norton Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 N. Robert St., St. Paul, MN 55101 Phone: 651-224-1329 Fax: 651-224-6520 | |
Our Healing Ground Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Po Box 17370 Lot 537, St. Paul, MN 55117 Phone: 218-214-7476 | |
Ramsey County Chemical Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Kellogg Blvd East, Suite 9800, St. Paul, MN 55101 Phone: 651-266-4008 Fax: 651-266-4435 | |
Merriam Park Psychological Services, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1678 Selby Avenue, St. Paul, MN 55104 Phone: 651-647-5722 Fax: 651-647-5723 | |
Center For Validation And Change, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Cleveland Avenue S. Ste; 211 790, St. Paul, MN 55116 Phone: 612-245-4683 | |
Community Action Partnership Of Ramsey & Washington Counties (caprw) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Suite 30, St. Paul, MN 55104 Phone: 651-603-5823 Fax: 651-603-5990 |