DR. TINA DINESH SHAH PSYD, LP
NPI 1497991806
Psychologist - Clinical in Burnsville, MN

Active since January 07, 2009Opted out of Medicare · through Jan 24, 2028
12400 PORTLAND AVE STE 120, BURNSVILLE, MN 55337(612) 276-2462(612) 246-3682 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Feb 20, 2020 (2 updates tracked since 2020).

About Dr. Tina Dinesh Shah Psyd, Lp NPPES

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

DR. TINA DINESH SHAH PSYD, LP (NPI 1497991806) is an individual clinical provider in Burnsville, Minnesota, licensed in Minnesota (5012) and active in the NPI registry since January 2009. She has opted out of Medicare through January 24, 2028 and maintains a secondary practice location in Eagan.

NPPES Registry Identity

NPI1497991806
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TINA DINESH SHAHCredential: PSYD, LP
Location Address12400 PORTLAND AVE STE 120Burnsville, MN 55337-6817
Mailing Address4660 Slater Rd Ste 120Eagan, MN 55122-4048 · (612) 276-2462 · Fax (612) 246-3682
Fax(612) 246-3682
Sole ProprietorNo
Enumeration DateJanuary 7, 2009
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
NPI 1497991806 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 · 5012
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.

12400 PORTLAND AVE STE 120, Burnsville, MN 55337

Secondary Practice Location 1

Location 14660 Slater Rd Ste 120Eagan, MN 55122-4048 · Phone (612) 276-2462

Other Identifiers 1

Other680002766MN · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Tina Dinesh Shah Psyd, Lp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 24, 2024 through January 24, 2028.

Opt-Out Effective DateJanuary 24, 2024
Opt-Out In Effect ThroughJanuary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Multi-Specialty)
12400 PORTLAND AVE STE 120
BURNSVILLE, MN 55337
Psychologist (Clinical Child & Adolescent)
12400 PORTLAND AVE STE 120
BURNSVILLE, MN 55337

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 Tina Shah's NPI number?

The NPI number for Tina Shah is 1497991806. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Tina Shah located?

Tina Shah practices at 12400 Portland Ave Ste 120, Burnsville, MN 55337. The listed phone number is (612) 276-2462.

What is Tina Shah's specialty?

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

Is Tina Shah enrolled in Medicare?

No. Tina Shah has opted out of Medicare through January 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tina Shah accept?

Health plans from HealthPartners list Tina Shah 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 Tina Shah was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.