Organization Active NPI

Associated Psychological Services

  • Cognitive & Behavioral Psychologist
  • Mankato, MN
National Provider Identifier
1285665877
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
LP3219 Issued in MN
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

Updated by the provider on Mar 4, 2011

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)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
121989OtherMNUCARE PROV ID
136497OtherMNUCARE GR#
755295500MedicaidMN
060H0ASOtherMNBCBS GROUP #
6128537OtherMNMEDICA-UBH PROV ID
84732OtherMNHEALTH PARTNERS GR#
C05525OtherMNMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.