Organization Active NPI

Migdal Psychological Services, LLC

  • Clinical Psychologist
  • Woodbury, MN
National Provider Identifier
1235531815
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5218 Issued in MN
Legal business name
MIGDAL PSYCHOLOGICAL SERVICES, LLC
Practice address
680 Commerce Dr Ste 260
Woodbury, MN 55125-4502
Phone
(651) 395-9442
NPI assigned
Sep 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Dr. Lori E. Migdal, PH.D., LP
Title
Owner
Phone
(651) 395-9442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LP5218 MN Primary

Addresses

Primary practice location

680 Commerce Dr Ste 260
Woodbury, MN 55125-4502

Mailing address

600 Inwood Ave N Ste 155
Oakdale, MN 55128-7096
Phone (651) 395-9442

Other practice location 1

8519 Eagle Point Blvd
Suite 150
Lake Elmo, MN 55042-8629
Phone (651) 395-9442

Other practice location 2

8519 Eagle Point Blvd
Suite 150
Lake Elmo, MN 55042-8629
Phone (651) 395-9442

National Provider Directory

National Provider Directory

Locations

600 Inwood Ave N
Ste 155
Oakdale, MN 55128
Phone (612) 594-2914

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1235531815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 INWOOD AVE N STE 155",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287096",
            "telephone_number": "651-395-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 COMMERCE DR STE 260",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254502",
            "telephone_number": "651-395-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8519 Eagle Point Blvd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550428629",
            "country_code": "US",
            "telephone_number": "651-395-9442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8519 Eagle Point Blvd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550428629",
            "country_code": "US",
            "telephone_number": "651-395-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIGDAL PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "MIGDAL",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-395-9442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.