Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Danielle Zagoloff, PHD

Individual provider Psychologist · NPI 1376890525

Alexandra Danielle Zagoloff, PHD is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2010, 16 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2450 Riverside Ave 2A West - Psychiatry Clinic
Minneapolis, MN 55454-1450
Phone: (612) 273-8700
Fax: (612) 273-8727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP5505 (MN)

Record details

NPI number1376890525
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 7, 2012
Mailing address2450 Riverside Ave, 2a West - Psychiatry Clinic, Minneapolis, MN 55454-1450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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