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

Maryssa Poderzay, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184203523

Maryssa Poderzay, MD is a Psychiatry in Saint Paul, Minnesota. Graduated from University of Minnesota Medical School in 2021, 5 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2595
Phone: (651) 254-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 75104 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184203523
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address640 Jackson St, Saint Paul, MN 55101-2502

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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