Active NPI
James A. Meland, PH.D., L.P.
- Clinical Psychologist
- Woodbury, MN
National Provider Identifier
1174590293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1978
- Practice address
- 10122 Powers Lake TRL
Woodbury, MN 55129-8589 - Phone
- (612) 625-4073
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP1978 | MN | |
| Clinical Psychologist | 103TC0700X | LP1978 | MN | Primary |
Addresses
Primary practice location
10122 Powers Lake TRL
Woodbury, MN 55129-8589
Mailing address
10122 Powers Lake TRL
Woodbury, MN 55129-8589
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25880ME | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 61-94310 | Other | MN | MEDICA |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1978 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1174590293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10122 POWERS LAKE TRL",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551298589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10122 POWERS LAKE TRL",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551298589",
"telephone_number": "612-625-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELAND",
"first_name": "JAMES",
"middle_name": "A.",
"credential": "PH.D., L.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP1978",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP1978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "25880ME",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "61-94310",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.