JOE GRONINGA PSYD
NPI 1528343449
Psychologist in Saint Paul, MN
NPI Status: Active since October 12, 2011
Contact Information
2383 UNIVERSITY AVE W
SUITE 200
SAINT PAUL, MN
ZIP 55114
Phone: (651) 644-4100
Fax: (651) 644-4885
- Individual
- Male
- Years of Experience 16
- Psychologist
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About JOE GRONINGA
This page provides the complete NPI Profile along with additional information for Joe Groninga, a provider established in Saint Paul, Minnesota with a medical specialization in Psychologist and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1528343449 assigned on October 2011. The practitioner's primary taxonomy code is 103T00000X with license number 5400 (MN). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1528343449
- Provider Name
- JOE GRONINGA PSYD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2383 UNIVERSITY AVE W SUITE 200 SAINT PAUL, MN 55114
- Location Phone
- (651) 644-4100
- Location Fax
- (651) 644-4885
- Mailing Address
- 2383 UNIVERSITY AVE W SUITE 200 SAINT PAUL, MN 55114
- Mailing Phone
- (651) 644-4100
- Mailing Fax
- (651) 644-4885
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-12-2011
- Last Update Date
- 10-12-2011
- Code Navigator
A psychologist like Joe Groninga studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 5400
- License State
- MN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Joe Groninga is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Joe Groninga is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9537335088
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120104000475
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JOE GRONINGA PSYD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 3 | 4 | 3 | 4 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 6 | 4 | 6 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 6 + 4 + 6 + 4 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1528343449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
REBECCA KRISTINE GETZ PSYD LP
Psychologist
2383 UNIVERSITY AVE W
STE 200
SAINT PAUL, MN
ZIP 55114
DR. KRISTIN LYNN NELSON PSY.D.
Student in an Organized Health Care Education/Training Program
2383 UNIVERSITY AVE W
200
SAINT PAUL, MN
ZIP 55114
KATIE THOMPSON
Student in an Organized Health Care Education/Training Program
2383 UNIVERSITY AVE W
SUITE 200
SAINT PAUL, MN
ZIP 55114
RENEE ELIZABETH WIESZCHOLEK BSW
Social Worker
(Clinical)
2383 UNIVERSITY AVE W
#200
SAINT PAUL, MN
ZIP 55114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528343449, enumerated as an "individual" on October 12, 2011.
The provider is located at 2383 UNIVERSITY AVE W SUITE 200 SAINT PAUL, MN 55114 and the phone number is (651) 644-4100.
Psychologist with taxonomy code 103T00000X.
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.
