npidexNPI registry + Medicare data

JOHN DESTEIAN, JD, DPSY

Family Psychologist · SAINT PAUL, MN

Individual Active Opted out of Medicare NPI 1174532279

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Psychologist103TF0000X✓LP0485MN
Psychoanalysis Psychologist103TP0814XLP0485MN
Psychologist103T00000XLP0485MN
Group Psychotherapy Psychologist103TP2701XLP0485MN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2016-05-03 through 2028-05-03.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.