Active NPI
Mary Ann Ver Steey Halbert, PSYD RN LICENSED PSY
- Psychologist
- St Louis Park, MN
National Provider Identifier
1104976331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP2166
- Practice address
- 1660 So Highway 100
Ste 332
St Louis Park, MN 55416 - Phone
- (952) 925-2203
- Fax
- (952) 925-5972
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP2166 | MN | Primary |
Addresses
Primary practice location
1660 So Highway 100
Ste 332
St Louis Park, MN 55416
Mailing address
1660 So Highway 100
Ste 332
St Louis Park, MN 55416
Phone (952) 925-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP2166 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Psychological Consulting, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- St Louis Park, MN
- NPI 1326486507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104976331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 SO HIGHWAY 100",
"address_2": "STE 332",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "952-925-2203",
"fax_number": "952-925-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 SO HIGHWAY 100",
"address_2": "STE 332",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "952-925-2203",
"fax_number": "952-925-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VER STEEY HALBERT",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "PSYD RN LICENSED PSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP2166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- 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.