Xan K Banker, PSYDLP
Xan K Banker, PSYDLP is a Clinical Psychologist in St Paul, Minnesota. Qualified in 2004, 22 years ago. Practices with Innovative Psychological Consultants, LLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.
- Years since qualifying
- 22
- Licensed in
- MN
- In the registry since
- 2006
Practice location Address checks out
408 St Peter St #429St Paul, MN 55102 Not confirmed with CMS for 19 years — call before visiting
Phone: (651) 224-0614
Fax: (651) 224-5754
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence LP4635 (MN) |
|---|
Record details
| NPI number | 1427078260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PSYDLP |
| Sole proprietor | No |
| NPI enumerated | July 21, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Innovative Psychological Consultants, Llc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Colleagues at Innovative Psychological Consultants, LLC
- Christian Todd Anderson, PSYD Counseling Psychologist · Maple Grove, MN
- Dr. Jeanne Bailey, MD Psychiatry Physician · Edina, MN
- Tara M Bauman, LADCLGSW Addiction (Substance Use Disorder) Counselor · Minnetonka, MN
- Judy Kay Brunsgaard, LICSW Clinical Social Worker · Maple Grove, MN
- Dr. Justin Coulter, PSYD Clinical Psychologist · Maple Grove, MN
- Rebel K Gustafson, MSW, LICSW Clinical Social Worker · Duluth, MN
- Luke A Knutson, LMFT Marriage & Family Therapist · Saint Paul, MN
- Mrs. Janeen Montgomery-Peterson, PSYD, LP Psychologist · Maple Grove, MN
- Luke Schwartz Moretti, NP Psychiatric/Mental Health Clinical Nurse Specialist · Lakeville, MN
- Natalie Ann Tobeck, MSW, LICSW Clinical Social Worker · Minneapolis, MN
Other providers in St Paul
-
Dr. Shruti Dasgupta, LP, PHD
649 Dayton Ave, St Paul, MN 55104-6631 · (612) 436-4840
-
Diane Stellrecht & Assoc Inc
570 Ashbury St Ste 300, St Paul, MN 55104 · (651) 699-7050
-
Dr. Janene L Hawkins, PSYDLP
640 Jackson Street Mail Stop 11303A, St Paul, MN 55101-2502 · (651) 254-9272
-
John M Kelroy, MALP
640 Jackson Street Mail Stop 11303A, St Paul, MN 55101-2502 · (651) 254-4786