MEDICARE: JOHN N. O'NEIL, PH.D., L.P., LLC

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	103TC0700X	Clinical Psychologist	LP4307	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	169041	OTHER	MN	UCARE
2	6169449	OTHER		MEDICA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	49F69ON	OTHER	MN	BLUE CROSS BLUE SHIELD
5	HP40630	OTHER	MN	HEALTH PARTNERS

General Provider Information

NPI Number	:	1306921275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN N. O'NEIL, PH.D., L.P., LLC

Provider Business Mailing Address
First Line	:	825 NICOLLET MALL
Second Line	:	1735 MEDICAL ARTS BUILDING
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55402-2704
Country	:	US
Telephone Number	:	612-455-6167
Fax Number	:	612-333-6740

Provider Business Practice Location Address
First Line	:	825 NICOLLET MALL
Second Line	:	1735 MEDICAL ARTS BUILDING
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55402-2704
Country	:	US
Telephone Number	:	612-455-6167
Fax Number	:	612-333-6740

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. JOHN NOLEN O'NEIL
Credential	:	PH.D.
Telephone Number	:	612-455-6167

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	05/06/2008

Similar Medicare Providers

1982097325 — DR. NORAH HOVERSON D.D.S.
Practice Location Address:

825 NICOLLET MALL STE 1737
MINNEAPOLIS, MN
55402-2704

Practice Phone: 612-332-1164
Practice Fax:

1528695178 — NICOLLET MALL DENTAL ARTS PLLC
Practice Location Address:

825 NICOLLET MALL STE 1737
MINNEAPOLIS, MN
55402-2704

Practice Phone: 612-332-1164
Practice Fax:

1396425021 — KEELEY FLAVIN MSDH, BSDH
Practice Location Address:

825 NICOLLET MALL STE 1737
MINNEAPOLIS, MN
55402-2704

Practice Phone: 612-332-1164
Practice Fax:

1053554113 — KRISTINA R JOHNSON P.T.
Practice Location Address:

3428 36TH AVE S
MINNEAPOLIS, MN
55406-2704

Practice Phone: 612-501-7192
Practice Fax:

1184937351 — ANDREA GORE PT
Practice Location Address:

800 E 28TH ST , SUITE 2704
MINNEAPOLIS, MN
55407-3723

Practice Phone: 612-863-4447
Practice Fax:

1346620143 — DAVID RICHARD HEDGECOCK OTR/L
Practice Location Address:

800 E 28TH ST , SUITE 2704
MINNEAPOLIS, MN
55407-3723

Practice Phone: 612-863-1044
Practice Fax:

Directions to “JOHN N. O'NEIL, PH.D., L.P., LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.