Healthcare Provider Details

I. General information

NPI: 1700704145
Provider Name (Legal Business Name): JIEYI CAI PHD, LP
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 UNIVERSITY AVE W STE 12
SAINT PAUL MN
55104-3952
US

IV. Provider business mailing address

1250 HENNEPIN AVE APT 304
MINNEAPOLIS MN
55403-1727
US

V. Phone/Fax

Practice location:
  • Phone: 651-379-5159
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberLP7365
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: