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

Jeremy William Rondorf, PSYD

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1639227135

Jeremy William Rondorf, PSYD is a Clinical Psychologist in Center City, Minnesota. Qualified in 2005, 21 years ago. Practices with Allina Health System, a 3,867-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
21
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

15245 Pleasant Valley Rd
Center City, MN 55012-9640
Phone: (651) 213-4184
Fax: (651) 213-4411
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary) Taxonomy 103TA0400X

Record details

NPI number1639227135
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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