JEAN MARIE THAW PH.D.
NPI 1851695449
Psychologist - Clinical in St Louis Park, MN

Q: What is Jean Thaw's NPI number?

The NPI number for Jean Thaw is 1851695449. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Q: What is Jean Thaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jean Thaw was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 22, 2010PECOS EnrolledAccepts Medicare Assignment

3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 993-3180 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jean Marie Thaw Ph.d. NPPES

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

JEAN MARIE THAW PH.D. (NPI 1851695449) is an individual clinical provider in St Louis Park, Minnesota, licensed in Florida (8125) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1851695449

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJEAN MARIE THAWCredential: PH.D.

Location Address3931 LOUISIANA AVE SSt Louis Park, MN 55426-5000

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-3180

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateDecember 22, 2010

Last NPPES UpdateApril 3, 2018

✔ NPI 1851695449 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 FL · 8125

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.

3931 LOUISIANA AVE S, St Louis Park, MN 55426

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jean Marie Thaw Ph.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 ID446438105

PECOS Enrollment IDI20180404002927

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.

Medicare Billing Reassignment

Medicare enrollment records show Jean Thaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Methodist Hospital

0.8 mi

General Acute Care Hospital

3900 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Park Nicollet Clinic
2,527 clinicians in this Medicare group

NPI 1194113217 (952) 993-1953

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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 20

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

CAMILLE ASHLEY SCHWARZROCK NP-C

Nurse Practitioner

3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3230

WILL C JENSEN MD

Internal Medicine (Pulmonary Disease)

3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426

Hennepin County (952) 993-3123

LESLIE PRATT

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5900

AMANDA J CALVIN MD

Internal Medicine (Pulmonary Disease)

3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3230

MARI M UUTALA LPC

Counselor (Professional)

3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426

Hennepin County (952) 993-3248

BROOKE RAEANNE VOGT PHYSICIAN ASSISTANT

Physician Assistant

3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426

Hennepin County (952) 993-3180

DORY L NEUROCK NP

Nurse Practitioner (Family)

3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3123

DR. MEILING HUA PARKER MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3230

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 Jean Thaw's NPI number?

The NPI number for Jean Thaw is 1851695449. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Jean Thaw located?

Jean Thaw practices at 3931 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 993-3180.

What is Jean Thaw's specialty?

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

Is Jean Thaw enrolled in Medicare?

Yes. Jean Thaw 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.

Which organization bills Medicare for Jean Thaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Thaw reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jean Thaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jean Thaw was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.