Michael Earl Maus, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0574 Issued in MN

Practice address

415 Blake Rd N
Suite 240
Hopkins, MN 55343-8108

Phone

(952) 814-0207

Fax

(952) 938-8838

NPI assigned

Aug 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250985600000",
    "number": "1306039854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 HUMBOLDT AVE S APT 108",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554053528",
            "telephone_number": "612-377-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BLAKE RD N",
            "address_2": "SUITE 240",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438108",
            "telephone_number": "952-814-0207",
            "fax_number": "952-938-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUS",
        "first_name": "MICHAEL",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2009-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF MINNESOTA",
            "identifier": "1306039854",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "1306039854",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306039854",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Colleen Marie Mathisen
• Olivia Ann Matthys, CCC-SLP
• Mark D McAlister, A.T.P.
• Melissa V McBorrough, RBT
• Lindsey McDougall
• Christina Marie Mehrhof
• Metropolitan Community Services

• Psychologist in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2009; 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.