National Provider Identifier Database

JEREMY W RONDORF, PSY.D. – NPI #1639227135
Addiction (Substance Use Disorder)

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.


Contact Information

JEREMY W RONDORF, PSY.D.
15245 PLEASANT VALLEY RD
CENTER CITY, MN55012-9640
Phone: 651-213-4184
Fax: 651-213-4411
Website:
Specialty Taxonomy Code
* Addiction (Substance Use Disorder) 103TA0400X

* Indicates primary specialty

NPI Profile & details for JEREMY W RONDORF

NPI Number 1639227135
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 01/08/2007
Last updated 03/11/2021 - About 5 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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