Provider Demographics
NPI:1962597393
Name:MCALPINE, JOHN K (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:MCALPINE
Suffix:
Gender:M
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15340 PAINTERS LN N
Mailing Address - Street 2:
Mailing Address - City:WEST LAKELAND
Mailing Address - State:MN
Mailing Address - Zip Code:55082-1640
Mailing Address - Country:US
Mailing Address - Phone:612-619-2577
Mailing Address - Fax:651-481-3907
Practice Address - Street 1:15340 PAINTERS LN N
Practice Address - Street 2:
Practice Address - City:WEST LAKELAND
Practice Address - State:MN
Practice Address - Zip Code:55082-1640
Practice Address - Country:US
Practice Address - Phone:612-619-2577
Practice Address - Fax:651-481-3907
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1097103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN865T7MCOtherBCBS
MN850048700Medicaid
MN001508821002OtherUNITED HEALTHCARE
MN104218OtherUCARE
MN6126382OtherUBH AND MEDICA
MNHP18505OtherHEALTH PARTNERS