DR. AMY ELIZABETH CANTAZARO PH.D., LP
NPI 1407147713
Psychologist - Clinical in Minneapolis, MN

Q: What is Amy Cantazaro's NPI number?

The NPI number for Amy Cantazaro is 1407147713. It was assigned to this individual provider in the NPPES registry on April 21, 2011. The provider is also known as Dr. Amy Elizabeth Cantazaro Poock.

Q: What is Amy Cantazaro'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 Amy Cantazaro was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 21, 2011PECOS Enrolled

4027 COUNTY ROAD 25, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2024, Aug 6, 2018 (2 updates tracked since 2018).

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About Dr. Amy Elizabeth Cantazaro Ph.d., Lp NPPES

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

DR. AMY ELIZABETH CANTAZARO PH.D., LP (NPI 1407147713) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP6272) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1407147713

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AMY ELIZABETH CANTAZAROCredential: PH.D., LP

Location Address4027 COUNTY ROAD 25Minneapolis, MN 55416-2629

Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496

Phone(612) 925-6033

Fax(612) 925-8496

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 21, 2011

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1407147713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP6272

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 ListedPsychologistTaxonomy 103T00000X · License 001186 (IA), LP6272 (MN)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 001186 (IA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 001186 (IA)

4027 COUNTY ROAD 25, Minneapolis, MN 55416

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Other Names 1

Other Name (5)Dr. Amy Elizabeth Cantazaro Poock

Secondary Practice Location 1

Location 11801 Nicollet AveMinneapolis, MN 55403 · Phone (612) 596-0900 · Fax (612) 879-3824

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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. Amy Elizabeth Cantazaro Ph.d., Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870843238

PECOS Enrollment IDI20180905001998

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 55416 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.

ALEX JACOB HOYT MSW, LICSW

Social Worker (Clinical)

4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416

Hennepin County (612) 925-6033

DR. DIANE LOUISE STELLRECHT PHD, LP

Psychologist (Clinical)

4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416

Hennepin County (612) 925-6033

SARAH JOY NAJAFALIPOUR MA, LPCC

Counselor (Professional)

4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416

Hennepin County (612) 925-6033

LESLIE ALLENE WISE MS, LPCC

Counselor (Professional)

4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416

Hennepin County (612) 925-6033

BRITTANY KAY SUNDER MS, LPCC

Counselor (Professional)

4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416

Hennepin County (612) 925-6033

ANN MARIE BATTLE MSSW, LICSW

Social Worker (Clinical)

4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416

Hennepin County (612) 925-6033

KRISTIN MARIE ANTTILA MSW, LICSW

Social Worker (Clinical)

4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416

Hennepin County (612) 925-6033

DR. ERICA LEE STELLICK-WOODS PSYD, LP

Psychologist (Clinical)

4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416

Hennepin County (612) 925-6033

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 Amy Cantazaro's NPI number?

The NPI number for Amy Cantazaro is 1407147713. It was assigned to this individual provider in the NPPES registry on April 21, 2011. The provider is also known as Dr. Amy Elizabeth Cantazaro Poock.

Where is Amy Cantazaro located?

Amy Cantazaro practices at 4027 County Road 25, Minneapolis, MN 55416. The listed phone number is (612) 925-6033.

What is Amy Cantazaro's specialty?

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

Is Amy Cantazaro enrolled in Medicare?

Yes. Amy Cantazaro is registered in the Medicare PECOS enrollment system.

What insurance does Amy Cantazaro accept?

Health plans from HealthPartners list Amy Cantazaro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Cantazaro was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.