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JEREMY WILLIAM RONDORF PSY.D.
NPI 1639227135
Psychologist - Addiction (Substance Use Disorder) in Center City, MN

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
15245 PLEASANT VALLEY RD, CENTER CITY, MN 55012(651) 213-4184(651) 213-4411 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy William Rondorf Psy.d. NPPES

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

JEREMY WILLIAM RONDORF PSY.D. (NPI 1639227135) is an individual addiction (substance use disorder) provider in Center City, Minnesota and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1639227135
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameJEREMY WILLIAM RONDORFCredential: PSY.D.
Location Address15245 PLEASANT VALLEY RDCenter City, MN 55012-9640
Mailing Address15245 Pleasant Valley RdCenter City, MN 55012-9640 · (651) 213-4184 · Fax (651) 213-4411
Phone(651) 213-4184
Fax(651) 213-4411
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1639227135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
15245 PLEASANT VALLEY RD, Center City, MN 55012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy William Rondorf Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971811217
PECOS Enrollment IDI20151006001400
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
169 services18 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 9

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

JANAKA EUGENE HANVEY M.S.
Psychologist (Addiction (Substance Use Disorder))
15245 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Chisago County (651) 213-4184
SARA JEAN GIACHINO M.A.
Student in an Organized Health Care Education/Training Program
15245 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Chisago County (651) 213-4184
DORINE ROSELLA REITER PSY.D., LP
Psychologist (Clinical)
15245 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Chisago County (651) 213-4184
IRENE D. BUGGE PHD
Psychologist (Addiction (Substance Use Disorder))
15245 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Chisago County (651) 213-4184
DR. LINDA LEAH HEDEMARK M.D.
Contractor
15245 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Chisago County (651) 213-4000
ANNA RENETTA PETERS
Student in an Organized Health Care Education/Training Program
15245 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Chisago County (651) 213-4184
RUTH DEIRDRE BRENNAN MORREY MS
Student in an Organized Health Care Education/Training Program
15245 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Chisago County (651) 213-4494
DONALD RAY ELVERD PSY.D., LP
Psychologist (Clinical)
15245 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Chisago County (651) 213-4184

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 Jeremy Rondorf's NPI number?

The NPI number for Jeremy Rondorf is 1639227135. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jeremy Rondorf located?

Jeremy Rondorf practices at 15245 Pleasant Valley Rd, Center City, MN 55012. The listed phone number is (651) 213-4184.

What is Jeremy Rondorf's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Jeremy Rondorf enrolled in Medicare?

Yes. Jeremy Rondorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeremy Rondorf was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.