RACHAEL ITUNU AJETOMOBI PHD, LP
NPI 1891533055
Psychologist - Clinical in Minneapolis, MN

Q: What is Rachael Ajetomobi's NPI number?

The NPI number for Rachael Ajetomobi is 1891533055. It was assigned to this individual provider in the NPPES registry on July 19, 2024.

Q: What is Rachael Ajetomobi'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 Rachael Ajetomobi was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 July 19, 2024PECOS EnrolledAccepts Medicare Assignment

701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rachael Itunu Ajetomobi Phd, Lp NPPES

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

RACHAEL ITUNU AJETOMOBI PHD, LP (NPI 1891533055) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP7096) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1891533055

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameRACHAEL ITUNU AJETOMOBICredential: PHD, LP

Location Address701 PARK AVEMinneapolis, MN 55415-1623

Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000

Phone(612) 873-3000

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 19, 2024

Last NPPES UpdateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1891533055 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 · LP7096

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.

701 PARK AVE, Minneapolis, MN 55415

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Secondary Practice Location 1

Location 1715 S 8th StMinneapolis, MN 55404-7530 · Phone (612) 873-6963

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 and accepts Medicare assignment

Rachael Itunu Ajetomobi Phd, Lp 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 ID1951832906

PECOS Enrollment IDI20241002000980

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240004

Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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.

DR. MICHAEL CHARLES HARLOW MD

Psychiatry & Neurology (Psychiatry)