DR. MICAH PRAIRIE CHICKEN PHD, LP
NPI 1518640473
Psychologist - Clinical in Minneapolis, MN

Q: What is Micah Prairie Chicken's NPI number?

The NPI number for Micah Prairie Chicken is 1518640473. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Q: What is Micah Prairie Chicken's specialty?

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

Active since August 08, 2023PECOS Enrolled

2101 MINNEHAHA AVE, MINNEAPOLIS, MN 55404(612) 721-9877 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Micah Prairie Chicken Phd, Lp NPPES

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

DR. MICAH PRAIRIE CHICKEN PHD, LP (NPI 1518640473) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP6960) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518640473

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICAH PRAIRIE CHICKENCredential: PHD, LP

Location Address2101 MINNEHAHA AVEMinneapolis, MN 55404-3107

Mailing Address2101 Minnehaha AveMinneapolis, MN 55404-3107

Phone(612) 721-9877

Sole ProprietorNo

Enumeration DateAugust 8, 2023

NPPES CertifiedAugust 8, 2023

✔ NPI 1518640473 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 · LP6960

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.

2101 MINNEHAHA AVE, Minneapolis, MN 55404

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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. Micah Prairie Chicken Phd, Lp 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 55404 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 6

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

DR. MILO WILDER DUE PSYD LP

Psychologist