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DR. JESSICA MARYNIUK PSYD
NPI 1396140422
Psychologist - Clinical in Eagan, MN

Active since October 31, 2014PECOS Enrolled
3450 OLEARY LN, EAGAN, MN 55123(651) 365-8213(651) 454-3492 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jessica Maryniuk Psyd NPPES

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

DR. JESSICA MARYNIUK PSYD (NPI 1396140422) is an individual clinical provider in Eagan, Minnesota, licensed in Minnesota (LP6373) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396140422
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA MARYNIUKCredential: PSYD
Location Address3450 OLEARY LNEagan, MN 55123-2340
Mailing Address3450 Oleary LnEagan, MN 55123-2340 · (574) 722-5151 · Fax (651) 454-3492
Phone(651) 365-8213
Fax(651) 454-3492
Sole ProprietorNo
Enumeration DateOctober 31, 2014
Last NPPES UpdateMarch 5, 2019
✔ NPI 1396140422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP6373
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3450 OLEARY LN, Eagan, MN 55123
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Wood

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Maryniuk 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 55123 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 20

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

MATTHEW STEVEN CARLSON LPC
Counselor (Professional)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 644-8515
JOCELYN SKYE BYRD LICSW
Social Worker (Clinical)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 365-8264
PATRICIA MOORE
Counselor (Professional)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114
MINNESOTA MENTAL HEALTH CLINICS
Community/Behavioral Health
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114
KATHERINE ANN MCGUIRE LPCC
Counselor (Mental Health)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114
SCARLETT HEATHER OCONNELL MA, LPCC
Counselor (Professional)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 365-8228
HALEY KEIFER LPCC
Counselor (Mental Health)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114
MICHAEL LEE BORTEL M.A.
Psychologist
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114

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 Jessica Maryniuk's NPI number?

The NPI number for Jessica Maryniuk is 1396140422. It was assigned to this individual provider in the NPPES registry on October 31, 2014. The provider is also known as Jessica Wood.

Where is Jessica Maryniuk located?

Jessica Maryniuk practices at 3450 Oleary Ln, Eagan, MN 55123. The listed phone number is (651) 365-8213.

What is Jessica Maryniuk's specialty?

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

Is Jessica Maryniuk enrolled in Medicare?

Yes. Jessica Maryniuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Maryniuk was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.