Active NPI
Tanya Lyn Sommerfeld, M.A., L.P.
- Psychologist
- Anoka, MN
National Provider Identifier
1164700308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP5225
- Practice address
- 201 East Main Street Suite 200
South Metro Human Services
Anoka, MN 55303 - Phone
- (763) 201-8065
- Fax
- (763) 712-5588
- NPI assigned
- Jul 21, 2011
- 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 | LP5225 | MN | Primary |
Addresses
Primary practice location
201 East Main Street Suite 200
South Metro Human Services
Anoka, MN 55303
Mailing address
201 East Main Street
Suite 200
Anoka, MN 55303
Phone (763) 201-8065
Other names 1
- Ms. Tanya Lyn Ness
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5225 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Metro Human Services | 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.
-
- Case Management Agency
- Anoka, MN
- NPI 1528147857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1164700308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EAST MAIN STREET",
"address_2": "SUITE 200",
"city": "ANOKA",
"state": "MN",
"postal_code": "55303",
"telephone_number": "763-201-8065",
"fax_number": "763-712-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 EAST MAIN STREET SUITE 200",
"address_2": "SOUTH METRO HUMAN SERVICES",
"city": "ANOKA",
"state": "MN",
"postal_code": "55303",
"telephone_number": "763-201-8065",
"fax_number": "763-712-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMERFELD",
"first_name": "TANYA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "M.A., L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP5225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "NESS",
"middle_name": "LYN",
"prefix": "MS.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.