Provider Demographics
NPI:1619050028
Name:RUMSEY, ROBIN (PHD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:RUMSEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 DELAWARE STREET SE STE 340
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-3617
Mailing Address - Fax:612-625-3261
Practice Address - Street 1:717 DELAWARE ST SE STE 240
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-2959
Practice Address - Country:US
Practice Address - Phone:612-625-3617
Practice Address - Fax:612-625-3261
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4627103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0493102Medicaid
IA0720995Medicaid
MN896443200Medicaid
MNB687OtherCHAMPUS
MNHP58158OtherHEALTHPARTNERS
MN1045661OtherPREFERRED ONE
MN694T6RUOtherBCBS
MN137018OtherUCARE
MN2407140OtherARAZ