CHRISTIAN L BABO (PSY D, LP) – Counseling Psychologist, NPI 1003809856

CHRISTIAN L BABO (PSY D, LP) is a healthcare provider. based in Plymouth, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY D, LP. They hold a License No. LP4162 (MN). The NPI Number for CHRISTIAN L BABO (PSY D, LP) is 1003809856

Main info

Female
30 Years Of Experience
Name
CHRISTIAN L BABO (PSY D, LP)
NPI
1003809856
Phone
(763) 525-8590
Address
10700 OLD COUNTY ROAD 15 STE 170
Enumeration Date
26 August 2005
Last Update Date
1 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635258590
Graduation Year
1996 (30 years ago)
PAC ID
3870698475
Group Practice PAC ID
9133161672
Professional Enrollment ID
I20070410000205
Address ID
MN554418709PL10700RDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for CHRISTIAN L BABO (PSY D, LP)

  • 10700 OLD COUNTY ROAD 15 STE 170

    PLYMOUTH, MN 554418709

    Phone: (763) 525-8590

    Fax: (763) 525-8592

    Type: Location

  • 7575, Golden Valley Road, Golden Valley, Hennepin County, Minnesota, 55427, United States

    SUITE 230

    GOLDEN VALLEY, MN 554274562

    Phone: (763) 525-8590

    Fax: (763) 525-8592

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070410000205IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55441)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133161672View full group profile
NameSpecialtyState
Clinical PsychologistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical PsychologistMN
-MN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What number should I use to identify CHRISTIAN L BABO (PSY D, LP) for billing?
Administrative and clinical systems typically use NPI 1003809856 for CHRISTIAN L BABO (PSY D, LP).
Is CHRISTIAN L BABO (PSY D, LP)'s NPI status active today?
Active status means CHRISTIAN L BABO (PSY D, LP)'s NPI record is not deactivated in the public file.
What services align with CHRISTIAN L BABO (PSY D, LP)'s listing?
CHRISTIAN L BABO (PSY D, LP)'s public classification highlights Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHRISTIAN L BABO (PSY D, LP)?
CHRISTIAN L BABO (PSY D, LP) is associated with Plymouth, Minnesota in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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