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

Dr. Jonathan Lee Poquiz, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1346815792

Dr. Jonathan Lee Poquiz, PHD is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
7
Licensed in
FL, MN
In the registry since
2021
Specialties on file
2
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

1300 S 2nd St Ste 180
Minneapolis, MN 55454-5000
Phone: (612) 625-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6868 (MN)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PY11126 (FL)

Record details

NPI number1346815792
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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