DYNAMIC CONNECTIONS, INC.
NPI 1265791503
Psychologist - Cognitive & Behavioral in Maplewood, MN
About Dynamic Connections, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYNAMIC CONNECTIONS, INC. (NPI 1265791503) is a healthcare organization registered as a cognitive & behavioral in Maplewood, Minnesota and active in the NPI registry since May 2012. The organization maintains a secondary practice location in Little Canada and lists Kristi Kay Worrell, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dynamic Connections, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dynamic Connections, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dynamic Connections, Inc.'s NPI number?
The NPI number for Dynamic Connections, Inc. is 1265791503. It was assigned to this organization in the NPPES registry on May 7, 2012.
Where is Dynamic Connections, Inc. located?
Dynamic Connections, Inc. is located at 2495 Maplewood Dr Ste 312, Maplewood, MN 55109. The listed phone number is (651) 760-3109.
What is Dynamic Connections, Inc.'s specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
Is Dynamic Connections, Inc. enrolled in Medicare?
Yes. Dynamic Connections, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dynamic Connections, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dynamic Connections, Inc., in Clinical Psychologist and Occupational Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dynamic Connections, Inc. was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Dynamic Connections, Inc. · NPI 1265791503
Cognitive & Behavioral organization in Maplewood, Minnesota. Organization record, active in the CMS NPPES registry since May 7, 2012.
## Identity
- **NPI:** 1265791503 (Entity type: Organization)
- **Enumerated:** May 7, 2012
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **Organization subpart:** No
- **Authorized official:** Kristi Worrell, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 2495 MAPLEWOOD DR STE 312, Maplewood, MN 55109-1985
- **Phone:** (651) 760-3109 · **Fax:** (651) 967-9417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Occupational Therapist in Private Practice (2), Clinical Psychologist (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1265791503) · Data from the CMS NPPES public registry.