Sherie Carlson PHD LP PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHERIE CARLSON PHD LP PLLC

Practice address

324 Broadway St
Alexandria, MN 56308-4771

Phone

(320) 762-1762

Fax

(320) 762-1762

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sherie Lynn Carlson, PHDNPI 1366511354

Title

Psychologist, Owner

Phone

(320) 763-1763

Specialties & licenses 1

Addresses

Other names 1

• Psychological Associates of Alexandria Former legal business name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Sherie Lynn Carlson, PHD, LP

  • Psychologist
  • Alexandria, MN
  • NPI 1366511354
  Medicare reassignment Authorized official
• Danelle Breitenfeldt, LICSW

  • Clinical Social Worker
  • Alexandria, MN
  • NPI 1245683283
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1285159582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 LEAF LN NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563089794",
            "telephone_number": "320-491-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084771",
            "telephone_number": "320-762-1762",
            "fax_number": "320-762-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIE CARLSON PHD LP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "320-763-1763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Associates of Alexandria",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ronna Rae Severson, MSW, LICSW
• Sharon'S Senior Services Inc
• Sharons Senior Services Inc
• Jody J. Shaskey-Setright, MS, LICSW
• Jamie Lyn Shelley, CNM
• Breanna Rose Shockman
• Lindsey Sholts
• Shoptikal LLC
• Tricia Jean Shoutz, NP-C
• Christopher Leigh Siegel, ATC, CSCS, EMT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.