NPIMap

Organization Active NPI

Amy Wold Ma, LP, PA

  • Psychologist
  • New Prague, MN
National Provider Identifier
1295935849
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3821 Issued in MN
Legal business name
AMY WOLD MA, LP, PA
Practice address
101 Lexington Ave S
New Prague, MN 56071-2423
Phone
(952) 758-2999
Fax
(952) 758-2999
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Ms. Amy Wold, MA, LP, PANPI 1790843951
Title
Owner, Self
Phone
(952) 758-2999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 3821 MN Primary

Addresses

Primary practice location

101 Lexington Ave S
New Prague, MN 56071-2423

Mailing address

101 Lexington Ave S
New Prague, MN 56071-2423
Phone (952) 758-2999

National Provider Directory

National Provider Directory

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1295935849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LEXINGTON AVE S",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712423",
            "telephone_number": "952-758-2999",
            "fax_number": "952-758-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEXINGTON AVE S",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712423",
            "telephone_number": "952-758-2999",
            "fax_number": "952-758-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY WOLD MA, LP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER, SELF",
        "authorized_official_telephone_number": "952-758-2999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LP, PA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "3821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.