Xan K. Banker, PSYD LP
NPI 1427078260ActiveIndividual· Psychologist, Clinical· St Paul, MN
Psychologist, Clinical (PSYD LP) with Innovative Psychological Consultants, LLC, practicing in St Paul, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1427078260 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD LP |
| Sole proprietor | No |
| NPI issued | Jul 21, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP4635 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Innovative Psychological Consultants, LLCMaple Grove, MN · 16 clinicians
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