Active NPI
Anna Lynn Fox, PSYD
- Psychologist
- St. Louis Park, MN
National Provider Identifier
1174824189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5399
- Practice address
- 1660 S. Hwy 100
Suite 250
St. Louis Park, MN 55416 - Phone
- (651) 645-5323
- NPI assigned
- Nov 7, 2010
- 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 | 5399 | MN | Primary |
Addresses
Primary practice location
1660 S. Hwy 100
Suite 250
St. Louis Park, MN 55416
Mailing address
1660 S. Hwy 100
Suite 250
St. Louis Park, MN 55416
Phone (651) 645-5323
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5399 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna Fox, LLC | Psychologist | 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.
-
- Psychologist
- Minneapolis, MN
- NPI 1710350079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1174824189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S. HWY 100",
"address_2": "SUITE 250",
"city": "ST. LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "651-645-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S. HWY 100",
"address_2": "SUITE 250",
"city": "ST. LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "651-645-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ANNA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-07",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "5399",
"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 Aug 30, 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.