DR. MATTHEW HALL PH.D., LP
NPI 1669039764
Psychologist in White Bear Lake, MN

Active since May 23, 2019
4756 BANNING AVE STE 208, WHITE BEAR LAKE, MN 55110(651) 505-0851 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, May 23, 2019 (2 updates tracked since 2019).

About Dr. Matthew Hall Ph.d., Lp NPPES

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

DR. MATTHEW HALL PH.D., LP (NPI 1669039764) is an individual psychologist in White Bear Lake, Minnesota, licensed in Minnesota (LP6332) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1669039764
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MATTHEW HALLCredential: PH.D., LP
Location Address4756 BANNING AVE STE 208White Bear Lake, MN 55110-3206
Mailing Address2504 8th StSaint Paul, MN 55110-5722 · (612) 327-6613
Sole ProprietorYes
Enumeration DateMay 23, 2019
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1669039764 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 · LP6332
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.
4756 BANNING AVE STE 208, White Bear Lake, MN 55110

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.

Counselor (Professional)
4756 BANNING AVE STE 208
WHITE BEAR LAKE, MN 55110
Counselor (Mental Health)
4756 BANNING AVE STE 208
WHITE BEAR LAKE, MN 55110

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 Matthew Hall's NPI number?

The NPI number for Matthew Hall is 1669039764. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Matthew Hall located?

Matthew Hall practices at 4756 Banning Ave Ste 208, White Bear Lake, MN 55110. The listed phone number is (651) 505-0851.

What is Matthew Hall's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Hall was last updated on April 22, 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.