Jessica Maryniuk, PSYD
NPI 1396140422 · Clinical Psychologist · Eagan, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Maryniuk, PSYD is a Clinical Psychologist provider in Eagan, MN (NPI 1396140422).
Provider details
- NPI number
- 1396140422
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1015 Michigan AveLogansport, IN 46947-1526Phone: (574) 722-5151Fax: (574) 739-1414
Registry dates
- Enumerated
- 2014-10-31
- Last updated
- 2019-03-05
Frequently asked questions
- What is Jessica Maryniuk's NPI number?
- Jessica Maryniuk's National Provider Identifier (NPI) is 1396140422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Maryniuk's specialty?
- Jessica Maryniuk is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jessica Maryniuk located?
- Jessica Maryniuk's practice location on file with NPPES is 3450 Oleary Ln, Eagan, MN 55123-2340.
- What is Jessica Maryniuk's phone number?
- The practice phone number listed in the NPPES registry for Jessica Maryniuk is (651) 365-8213.
- Does Jessica Maryniuk accept Medicare?
- Jessica Maryniuk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Maryniuk's NPI active?
- Yes — Jessica Maryniuk's NPI (1396140422) is active in the NPPES registry as of the last update on 2019-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.