DR. KATIE RUBEDOR-GREEN PSYD
NPI 1437049707
Psychologist in Fridley, MN

Active since July 08, 2025PECOS Enrolled
520 OSBORNE RD NE STE 210, FRIDLEY, MN 55432(763) 236-3800(763) 236-3821 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Jul 8, 2025 (2 updates tracked since 2025).

About Dr. Katie Rubedor-green Psyd NPPES

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

DR. KATIE RUBEDOR-GREEN PSYD (NPI 1437049707) is an individual psychologist in Fridley, Minnesota, licensed in Minnesota (LP7267) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437049707
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATIE RUBEDOR-GREENCredential: PSYD
Location Address520 OSBORNE RD NE STE 210Fridley, MN 55432-2718
Mailing Address520 Osborne Rd Ne Ste 210Fridley, MN 55432-2718 · (763) 236-3800
Fax(763) 236-3821
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 8, 2025
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1437049707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP7267
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
520 OSBORNE RD NE STE 210, Fridley, MN 55432

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katie Rubedor-green Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305333626
PECOS Enrollment IDI20251013000380
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.

Medicare Billing Reassignment

Medicare enrollment records show Katie Rubedor-green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction (Substance Use Disorder)
520 OSBORNE RD NE, STE 120
Fridley, MN 55432
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychologist
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Social Worker (Clinical)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Nurse Practitioner (Psychiatric/Mental Health)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Psychologist
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Psychologist
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432

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 Katie Rubedor-green's NPI number?

The NPI number for Katie Rubedor-green is 1437049707. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Katie Rubedor-green located?

Katie Rubedor-green practices at 520 Osborne Rd NE Ste 210, Fridley, MN 55432. The listed phone number is (763) 236-3800.

What is Katie Rubedor-green's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Katie Rubedor-green enrolled in Medicare?

Yes. Katie Rubedor-green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Rubedor-green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Rubedor-green reassigns Medicare benefits to Allina Health System (Fridley, MN). The 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 Katie Rubedor-green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Rubedor-green accept?

Health plans from HealthPartners list Katie Rubedor-green 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 Katie Rubedor-green was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.