Melissa Laraby, PSY.D., L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 5735 Issued in MN

Practice address

6120 Oren Ave N
Stillwater, MN 55082-6155

Phone

(651) 430-0888

Fax

(651) 430-0889

NPI assigned

Apr 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nuview Psychological Services

  • Clinical Psychologist
  • Stillwater, MN
  • NPI 1487811105
  NPD (past)
• Regions Hospital

  • General Acute Care Hospital
  • Woodbury, MN
  • NPI 1104681105
  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1174942890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 OREN AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826155",
            "telephone_number": "651-430-0888",
            "fax_number": "651-430-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 OREN AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826155",
            "telephone_number": "651-430-0888",
            "fax_number": "651-430-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARABY",
        "first_name": "MELISSA",
        "credential": "PSY.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Landers, MD
• Stephen S Lane, M.D.
• Jacob R Lang, O.D.
• Dennis Lanoux
• Blake Jonathon Lapoint
• Daniel J. Larsen, D.C.
• Laura Marie Larsen, COTAL
• Ann P Larson, COTA
• Bethany Anne Larson
• Marisa Sue Larson

• Clinical Psychologist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.