Jason Lee Mahlen, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5600 Issued in MN

Practice address

18315 Cascade Dr
Ste: 165
Eden Prairie, MN 55347-1180

Phone

(612) 695-0071

Fax

(952) 767-5087

NPI assigned

Oct 25, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mahlen Psychological Services LLC

  • Community/Behavioral Health Agency
  • Eden Prairie, MN
  • NPI 1790143378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1205136231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 CASCADE DR.",
            "address_2": "STE: 165",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55347",
            "telephone_number": "612-695-0071",
            "fax_number": "952-767-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 CASCADE DR",
            "address_2": "STE: 165",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471180",
            "telephone_number": "612-695-0071",
            "fax_number": "952-767-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLEN",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mustafa Abdi Mahad
• Hawa Mahamed
• Roda Mahamoud
• Kirsten Dynea Maher, PHARMD
• Mahlen Psychological Services LLC
• Omar Ahmad Mahmood, M.D.
• Calvin Mai, DPT
• Jesse Leaf Maistrovich, PSYD
• Sarah L Mallak, PHARM.D.
• Mam Pca Inc

• Clinical Psychologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.