Dr Robert Cornell Van Siclen, PHD - Psychologist in Coon Rapids, MN

Dr Robert Cornell Van Siclen, PHD is a Psychologist based in Coon Rapids, Minnesota. Dr Robert Cornell Van Siclen is licensed to practice in Minnesota (license number LP2775) and his current practice location is 277 Coon Rapids Blvd Nw, Suite 308, Coon Rapids, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 717-4979.

NPI number for Dr Robert Cornell Van Siclen is 1871674978 and his current mailing address is 277 Coon Rapids Boulevard, Suite 308, Coon Rapids, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871674978.

Contact Information

Dr Robert Cornell Van Siclen, PHD
277 Coon Rapids Blvd Nw, Suite 308,
Coon Rapids, MN 55433-5843
(763) 717-4979
(763) 717-4954

Map and Direction




Healthcare Provider's Profile

Full NameDr Robert Cornell Van Siclen
GenderMale
SpecialityPsychologist
Location277 Coon Rapids Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871674978
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Robert Cornell Van Siclen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871674978NPI-NPPES
3K444VAOtherMNBLUE CROSS BLUE SHIELD
108029OtherMNUCARE PROVIDER NUMBER
61-20060OtherMNUNITED BEHAVIORAL HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral LP2775 (Minnesota)Primary
103TC0700XPsychologist - Clinical LP2775 (Minnesota)Primary
103TC2200XPsychologist - Clinical Child & Adolescent LP2775 (Minnesota)Primary
103T00000XPsychologist LP2775 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Cornell Van Siclen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Robert Cornell Van Siclen, PHD
277 Coon Rapids Boulevard, Suite 308,
Coon Rapids, MN 55433-5843

Ph: (763) 717-4979
Dr Robert Cornell Van Siclen, PHD
277 Coon Rapids Blvd Nw, Suite 308,
Coon Rapids, MN 55433-5843

Ph: (763) 717-4979

Reviews and Comments


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