Individual provider Active NPI

Janice Carlson Joshua, PSYD LP

  • Counseling Psychologist
  • Edina, MN
National Provider Identifier
1235276791
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP1361 Issued in MN
Practice address
5200 Willson Rd Ste 150
Edina, MN 55424-1300
Phone
(952) 926-4554
Fax
(952) 836-2730
NPI assigned
Jan 31, 2007
Sex
Female
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
Counseling Psychologist 103TC1900X LP1361 MN Primary

Addresses

Primary practice location

5200 Willson Rd Ste 150
Edina, MN 55424-1300

Mailing address

5200 Willson Rd Ste 150
Edina, MN 55424-1300
Phone (952) 926-4554

Other names 1

  • Dr. Janice Maidman Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120419000738 MN Practitioner - Clinical Psychologist 6305007253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5200 Willson Rd
Suite 150
Edina, MN 55424-1300
Phone (952) 926-4554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP1361MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maidman-Joshua Inc CurrentSince Mar 22, 1996 Accepting new patients

Locations

5200 Willson Rd
Ste 150
Minneapolis, MN 55424
Phone (763) 270-0054

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235276791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241300",
            "telephone_number": "952-926-4554",
            "fax_number": "952-836-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241300",
            "telephone_number": "952-926-4554",
            "fax_number": "952-836-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHUA",
        "first_name": "JANICE",
        "middle_name": "CARLSON",
        "name_prefix": "Ms.",
        "credential": "PSYD LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "MAIDMAN",
            "prefix": "DR.",
            "credential": "PSYD LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.