DR. JOHN ARMEN DESTEIAN JD, DPSY
NPI 1174532279
Psychologist - Family in Saint Paul, MN

Active since August 07, 2006Opted out of Medicare · through May 3, 2028
950 SAINT CLAIR AVE, SAINT PAUL, MN 55105(651) 293-1684(651) 293-1562 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Armen Desteian Jd, Dpsy NPPES

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

DR. JOHN ARMEN DESTEIAN JD, DPSY (NPI 1174532279) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (LP0485) and active in the NPI registry since August 2006. He has opted out of Medicare through May 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174532279
Entity TypeIndividualMale
Primary Taxonomy103TF0000X
Provider Legal NameDR. JOHN ARMEN DESTEIANCredential: JD, DPSY
Location Address950 SAINT CLAIR AVESaint Paul, MN 55105-3214
Mailing Address950 Saint Clair AveSaint Paul, MN 55105-3214 · (651) 293-1684 · Fax (651) 293-1562
Fax(651) 293-1562
Sole ProprietorNo
Enumeration DateAugust 7, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1174532279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers
Taxonomy Code103TF0000X
License Licensed in MN · LP0485
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
Also ListedPsychologistTaxonomy 103T00000X · License LP0485 (MN)
Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X · License LP0485 (MN)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License LP0485 (MN)
950 SAINT CLAIR AVE, Saint Paul, MN 55105

Other Identifiers 1

Other24123DEMN · Bluecross&blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John Armen Desteian Jd, Dpsy has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 3, 2016 through May 3, 2028.

Opt-Out Effective DateMay 3, 2016
Opt-Out In Effect ThroughMay 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Adult Mental Health)
950 SAINT CLAIR AVE
SAINT PAUL, MN 55105
Marriage & Family Therapist
950 SAINT CLAIR AVE
SAINT PAUL, MN 55105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Desteian's NPI number?

The NPI number for John Desteian is 1174532279. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is John Desteian located?

John Desteian practices at 950 Saint Clair Ave, Saint Paul, MN 55105. The listed phone number is (651) 293-1684.

What is John Desteian's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

Is John Desteian enrolled in Medicare?

No. John Desteian has opted out of Medicare through May 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Desteian was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.