Mary Jo Ann Poggi, MA LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1834 Issued in MN

Practice address

6950 France Ave So
Suite 103
Edina, MN 55435

Phone

(952) 922-9032

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jo Ann Poggi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023160165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4168 CASHELL GLEN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "651-686-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 FRANCE AVE SO",
            "address_2": "SUITE 103",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-922-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGGI",
        "first_name": "MARY JO",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "83A55PO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO",
            "last_name": "POGGI",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MA LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Plastic Surgery Consultants, LTD.
• Plastic Surgery Specialists, PA
• Emily Plombon, LPCC, LADC
• Dominic Anthony Plucinski, MD
• Curtis Plueger, DC
• Polar Star Behavioral Health LLC
• Elaina Marie Polk, RN
• Virginia Pollen, DPT
• Nancy J Poole, CNP
• Joyce Popp, L.P.

• Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.