Individual provider Active NPI

Cara Lundeen, PSY.D.,LP

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1154417194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4511 Issued in MN
Practice address
821 Raymond Ave Ste 140
Saint Paul, MN 55114-1509
Phone
(651) 645-5885
Fax
(651) 645-1403
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP4511 MN Primary

Addresses

Primary practice location

821 Raymond Ave Ste 140
Saint Paul, MN 55114-1509

Mailing address

821 Raymond Ave Ste 140
Saint Paul, MN 55114-1509
Phone (651) 645-5885

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4511MNMDMental Health Counselor
LP4511MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cara Lundeen PSYD LP LLC Clinical Past Accepting new patients
Lisa Froehling Psy.D. L.P., LLC Clinical PastSince Sep 18, 2006 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154417194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141509",
            "telephone_number": "651-645-5885",
            "fax_number": "651-645-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141509",
            "telephone_number": "651-645-5885",
            "fax_number": "651-645-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "CARA",
        "credential": "PSY.D.,LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, 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.

Verify at the official NPI Registry.