COLLEEN M DANIEWICZ (PSYD) – Psychologist, NPI 1033171145

COLLEEN M DANIEWICZ (PSYD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 102235 (MN). The NPI Number for COLLEEN M DANIEWICZ (PSYD) is 1033171145

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN M DANIEWICZ (PSYD)
NPI
1033171145
Phone
(612) 262-4813
Address
PO BOX 43
Enumeration Date
4 April 2006
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
1995 (31 years ago)
PAC ID
7719164169
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20110610000671
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
cdaniewicz85463@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for COLLEEN M DANIEWICZ (PSYD)

  • PO BOX 43

    MR 10809

    MINNEAPOLIS, MN 554400043

    Phone: (612) 262-4813

    Fax: (612) 262-4191

    Type: Mailing

  • Allina Medical Clinic, 8675, Valley Creek Road, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551252337

    Phone: (651) 501-3000

    Fax: (651) 501-3500

    Type: Location

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: 2011-06-10

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
I20110610000671IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour6711$0
View full utilization report →

Insurance plans in this area (ZIP 55440)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What NPI should I save for COLLEEN M DANIEWICZ (PSYD)?
Save NPI 1033171145 if you need a stable reference for COLLEEN M DANIEWICZ (PSYD).
Is COLLEEN M DANIEWICZ (PSYD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize COLLEEN M DANIEWICZ (PSYD)'s specialty in plain language?
Clinically, the directory lists COLLEEN M DANIEWICZ (PSYD) with Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place COLLEEN M DANIEWICZ (PSYD)?
The snapshot lists Minneapolis, Minnesota for COLLEEN M DANIEWICZ (PSYD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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