Active NPI
Associated Psychological Services
- Cognitive & Behavioral Psychologist
- Mankato, MN
National Provider Identifier
1285665877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- LP3219
- Legal business name
- ASSOCIATED PSYCHOLOGICAL SERVICES
- Practice address
- 113 E Hickory St
Mankato, MN 56001-3630 - Phone
- (507) 388-8114
- Fax
- (507) 388-8068
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda L Marshall, PHD LP
- Title
- Owner
- Phone
- (507) 388-8114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | LP3219 | MN | Primary |
Addresses
Primary practice location
113 E Hickory St
Mankato, MN 56001-3630
Mailing address
113 E Hickory St
Mankato, MN 56001-3630
Phone (507) 388-8114
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121989 | Other | MN | UCARE PROV ID |
| 136497 | Other | MN | UCARE GR# |
| 755295500 | Medicaid | MN | |
| 060H0AS | Other | MN | BCBS GROUP # |
| 6128537 | Other | MN | MEDICA-UBH PROV ID |
| 84732 | Other | MN | HEALTH PARTNERS GR# |
| C05525 | Other | MN | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
302 S 2nd St
Mankato, MN 56001
Phone (507) 388-8114
113 E Hickory St
Mankato, MN 56001
Phone (507) 388-8114
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Mankato, MN
- NPI 1104868421
-
- Clinical Social Worker
- Mankato, MN
- NPI 1689321291
-
- Mental Health Counselor
- Mankato, MN
- NPI 1376026633
-
- Mental Health Counselor
- New Ulm, MN
- NPI 1275015786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299196800000",
"number": "1285665877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E HICKORY ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013630",
"telephone_number": "507-388-8114",
"fax_number": "507-388-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E HICKORY ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013630",
"telephone_number": "507-388-8114",
"fax_number": "507-388-8068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2011-03-04",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-388-8114",
"authorized_official_credential": "PHD LP"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MN",
"license": "LP3219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE PROV ID",
"identifier": "121989",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE GR#",
"identifier": "136497",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "755295500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "060H0AS",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-UBH PROV ID",
"identifier": "6128537",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS GR#",
"identifier": "84732",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "C05525",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.