Healthcare Provider Details

I. General information

NPI: 1699696948
Provider Name (Legal Business Name): RILEY CAPIZZI PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 W 66TH ST
RICHFIELD MN
55423-2304
US

IV. Provider business mailing address

401 SE MAIN ST APT 5023
MINNEAPOLIS MN
55414-4614
US

V. Phone/Fax

Practice location:
  • Phone: 612-798-8800
  • Fax: 612-798-8816
Mailing address:
  • Phone: 847-997-4148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: