Active NPI
Elizabeth Mau, M.S., L.P.
- Psychologist
- Stillwater, MN
National Provider Identifier
1205858735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3514
- Practice address
- 6381 Osgood Ave N
Stillwater, MN 55082-6118 - Phone
- (651) 430-2212
- Fax
- (651) 430-2272
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | LP3514 | MN | Primary |
Addresses
Primary practice location
6381 Osgood Ave N
Stillwater, MN 55082-6118
Mailing address
5343 Heath Ave N
Oakdale, MN 55128-3055
Phone (651) 779-9955
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3514 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1205858735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5343 HEATH AVE N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551283055",
"telephone_number": "651-779-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6381 OSGOOD AVE N",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826118",
"telephone_number": "651-430-2212",
"fax_number": "651-430-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAU",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.S., L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.