Robert Van Siclen, PHD
Robert Van Siclen, PHD is a Clinical Psychologist in Coon Rapids, MN, registered under NPI 1871674978. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 277 COON RAPIDS BLVD NW SUITE 308, Coon Rapids, MN 55433. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| LP2775 | MN | Cognitive & Behavioral Psychologist |
| LP2775 | MN | Clinical Psychologist primary |
| LP2775 | MN | Clinical Child & Adolescent Psychologist |
| LP2775 | MN | Psychologist |
This provider holds licence LP2775 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinical covers
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | LP2775 | MN | |
| 103TC0700X | Clinical Psychologist Clinical | LP2775 | MN | primary |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | LP2775 | MN | |
| 103T00000X | Psychologist | LP2775 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1871674978 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 17, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | PHD |
| Practice address |
277 COON RAPIDS BLVD NW SUITE 308 Coon Rapids, MN 55433 (763) 717-4979 Fax (763) 717-4954 |
| Mailing address |
277 COON RAPIDS BOULEVARD SUITE 308 Coon Rapids, MN 55433 |
| Other identifiers |
072248100
· Other (MN) 108029 · Other (MN) 3K444VA · Other (MN) 61-20060 · Other (MN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 7 | 1 | 6 | 7 | 4 | 9 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 5 | 1 | 3 | 7 | 8 | 9 | 5 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.