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

Dr. Paul S Bagdade, PHD, LP

Individual provider Clinical Psychologist · NPI 1699785196

Dr. Paul S Bagdade, PHD, LP is a Clinical Psychologist in Maplewood, Minnesota. Qualified in 2003, 23 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Phone: (612) 440-6315
Fax: (651) 412-5338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP 4527 (MN)

Record details

NPI number1699785196
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedAugust 8, 2006
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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