CARLY JO ALEXANDER PSYD
NPI 1093192833
Psychologist - Clinical in Minneapolis, MN

Q: What is Carly Alexander's NPI number?

The NPI number for Carly Alexander is 1093192833. It was assigned to this individual provider in the NPPES registry on April 30, 2015. The provider is also known as Carly Jo Anderson.

Q: What is Carly Alexander's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Carly Alexander was last updated on March 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 30, 2015PECOS Enrolled

800 E 28TH ST STE 1750, MINNEAPOLIS, MN 55407(612) 863-4495 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2023, Dec 6, 2022, Oct 30, 2018 and 1 more (4 updates tracked since 2018).

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About Carly Jo Alexander Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY JO ALEXANDER PSYD (NPI 1093192833) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP648) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093192833

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameCARLY JO ALEXANDERCredential: PSYD

Location Address800 E 28TH ST STE 1750Minneapolis, MN 55407-3723

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(612) 863-4495

Sole ProprietorYes

Enumeration DateApril 30, 2015

Last NPPES UpdateMarch 31, 20234 updates tracked since enumeration

NPPES CertifiedMarch 31, 2023

✔ NPI 1093192833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP648

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

800 E 28TH ST STE 1750, Minneapolis, MN 55407

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Other Names 1

Former Name (1)Carly Jo Anderson

Secondary Practice Locations 2

Location 116180 Hastings Ave SE Ste 205Prior Lake, MN 55372-9228 · Phone (952) 443-4600 · Fax (952) 443-4604

Location 23300 Fernbrook Ln NPlymouth, MN 55447-5338 · Phone (763) 559-7050

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Jo Alexander Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. INDRA A LIM MD

Physical Medicine & Rehabilitation