DR. GARY P LIABOE PH.D.
NPI 1184722530
Psychologist - Clinical in Arden Hills, MN

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
3820 CLEVELAND AVE N, # 400, ARDEN HILLS, MN 55112(651) 389-4400(651) 389-4410 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gary P Liaboe Ph.d. NPPES

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

DR. GARY P LIABOE PH.D. (NPI 1184722530) is an individual clinical provider in Arden Hills, Minnesota, licensed in Minnesota (LP 0737) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1184722530
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GARY P LIABOECredential: PH.D.
Location Address3820 CLEVELAND AVE N, # 400Arden Hills, MN 55112-3285
Mailing Address3820 Cleveland Ave N, # 400Arden Hills, MN 55112-3285 · (651) 389-4400 · Fax (651) 389-4410
Fax(651) 389-4410
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1184722530 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 · LP 0737
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.

3820 CLEVELAND AVE N, Arden Hills, MN 55112

Other Identifiers 9

Other232253MN · Pacific Life
Other97095547005MN · Preferred One
Other80174310MN · Wausau
Other0005947146MN · Aetna
Other191366MN · Value Options
Other324L6COMN · Bluecross/blueshield
Other6142913MN · United Beharioral Health
Other8017430MN · Patient Choice
Medicare UPINR64476MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary P Liaboe Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739155292
PECOS Enrollment IDI20040907000409
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 55112 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.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
3820 CLEVELAND AVE N, SUITE 400
ARDEN HILLS, MN 55112
Counselor (Mental Health)
3820 CLEVELAND AVE N, SUITE 400
ARDEN HILLS, MN 55112
Psychologist
3820 CLEVELAND AVE N, ST 400
ARDEN HILLS, MN 55112
Clinic/Center (Adult Mental Health)
3820 CLEVELAND AVE N, SUITE 400
ARDEN HILLS, MN 55112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184722530, enumerated as an "individual" on September 20, 2006.

The provider is located at 3820 CLEVELAND AVE N # 400 ARDEN HILLS, MN 55112 and the phone number is (651) 389-4400.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: HealthPartners, Providence Health Plan, Medicare,. Please consult your insurance carrier or call the provider to verify.