Matthew Ballenthin, PSYD. LP
NPI 1861745176 · Psychologist · Lake Elmo, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Ballenthin, PSYD. LP is a Psychologist provider in Lake Elmo, MN (NPI 1861745176).
Provider details
- NPI number
- 1861745176
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD. LP
- Sex
- Male
- Sole proprietor
- No
- License
- LP5527 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2012-10-24
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Frequently asked questions
- What is Matthew Ballenthin's NPI number?
- Matthew Ballenthin's National Provider Identifier (NPI) is 1861745176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Ballenthin's specialty?
- Matthew Ballenthin is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Matthew Ballenthin located?
- Matthew Ballenthin's practice location on file with NPPES is 8550 Hudson Blvd N, Lake Elmo, MN 55042-5500.
- What is Matthew Ballenthin's phone number?
- The practice phone number listed in the NPPES registry for Matthew Ballenthin is (651) 254-8580.
- Does Matthew Ballenthin accept Medicare?
- Matthew Ballenthin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Ballenthin's NPI active?
- Yes — Matthew Ballenthin's NPI (1861745176) is active in the NPPES registry as of the last update on 2021-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.