Organization Active NPI

Orchard Psychologists, PLLC

  • Clinical Psychologist
  • Edina, MN
National Provider Identifier
1164533212
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4178 Issued in MN
Legal business name
ORCHARD PSYCHOLOGISTS, PLLC
Practice address
7101 York Ave S
Suite 305
Edina, MN 55435-4469
Phone
(952) 848-2297
Fax
(855) 582-5034
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Ann L Orchard, PSY.D.
Title
Licensed Psychologist
Phone
(952) 848-2297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP4178 MN Primary

Addresses

Primary practice location

7101 York Ave S
Suite 305
Edina, MN 55435-4469

Mailing address

6500 Parnell Ave
Edina, MN 55435-1515
Phone (952) 848-2297

Other identifiers 1

IdentifierTypeStateIssuer
203T3OROtherMNBCBS

National Provider Directory

National Provider Directory

Locations

7101 York Ave S
Ste 305
Edina, MN 55435
Phone (612) 202-0535

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1164533212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 PARNELL AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351515",
            "telephone_number": "952-848-2297",
            "fax_number": "952-929-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S",
            "address_2": "SUITE 305",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354469",
            "telephone_number": "952-848-2297",
            "fax_number": "855-582-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD PSYCHOLOGISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ORCHARD",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "952-848-2297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "203T3OR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.