MEDICARE: CARA S BEAMES M.A., L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	LP1701	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30749RO	OTHER	MN	BLUE CROSS BLUE SHIELD
2	62-20408	OTHER	MN	UBH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	12014	OTHER	MN	HEALTHPARTNERS

General Provider Information

NPI Number	:	1467437228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA S BEAMES M.A., L.P.

Provider Business Mailing Address
First Line	:	2124 DUPONT AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55405-2700
Country	:	US
Telephone Number	:	612-874-6640
Fax Number	:	612-879-0059

Provider Business Practice Location Address
First Line	:	2124 DUPONT AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55405-2700
Country	:	US
Telephone Number	:	612-874-6640
Fax Number	:	612-879-0059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	01/14/2025

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