Stephanie Anne Born, PSYD, LP
NPI 1962971242ActiveIndividual· Psychologist, Clinical· Saint Cloud, MN
Psychologist, Clinical (PSYD, LP) with Centracare Clinic, practicing in Saint Cloud, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1962971242 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LP |
| Sole proprietor | Yes |
| NPI issued | Nov 16, 2018 |
| Last updated in NPPES | Nov 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6319 | 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 | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Centracare ClinicSaint Cloud, MN · 791 clinicians
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