Merry Ranae Buckley Barnes, PSY.D LP
NPI 1811265523ActiveIndividual· Psychologist, Clinical· St Louis Park, MN
Psychologist, Clinical (PSY.D LP) with Park Nicollet Clinic, practicing in St Louis Park, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1811265523 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D LP |
| Sole proprietor | No |
| NPI issued | Dec 8, 2011 |
| Last updated in NPPES | Jun 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP5529 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 2008 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
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