Individual provider Active NPI

George Lindall, LP

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1215058649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP0826 Issued in MN
Practice address
2712 E Minnehaha Pkwy
Minneapolis, MN 55406-3743
Phone
(612) 282-2750
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP0826 MN Primary

Addresses

Primary practice location

2712 E Minnehaha Pkwy
Minneapolis, MN 55406-3743

Mailing address

2712 E Minnehaha Pkwy
Minneapolis, MN 55406-3743
Phone (612) 282-2750

Other identifiers 4

IdentifierTypeStateIssuer
3M390LIOtherMNBCBS IPN
104022OtherMNHEALTH PARTNERS FIN
47343LIOtherMNBCBS CLINIC
LP0826OtherMNLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924000855 MN Practitioner - Clinical Psychologist 2567881550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP0826MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NL Consulting, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215058649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 E MINNEHAHA PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063743",
            "telephone_number": "612-282-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 E MINNEHAHA PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063743",
            "telephone_number": "612-282-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDALL",
        "first_name": "GEORGE",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IPN",
            "identifier": "3M390LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS FIN",
            "identifier": "104022",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC",
            "identifier": "47343LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LP0826",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.