Organization Active NPI

Laura Whitney Psychological Services

  • Clinical Psychologist
  • Nashwauk, MN
National Provider Identifier
1336214899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3078 Issued in MN
Legal business name
LAURA WHITNEY PSYCHOLOGICAL SERVICES
Practice address
11206 Long Lake Rd
Nashwauk, MN 55769-4423
Phone
(218) 263-6600
Fax
(218) 263-6600
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Laura Whitney, LP
Title
Licensed Psychologist
Phone
(218) 263-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP3078 MN Primary

Addresses

Primary practice location

11206 Long Lake Rd
Nashwauk, MN 55769-4423

Mailing address

11206 Long Lake Rd
Nashwauk, MN 55769-4423
Phone (218) 263-6600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336214899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11206 LONG LAKE RD",
            "city": "NASHWAUK",
            "state": "MN",
            "postal_code": "557694423",
            "telephone_number": "218-263-6600",
            "fax_number": "218-263-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 LONG LAKE RD",
            "city": "NASHWAUK",
            "state": "MN",
            "postal_code": "557694423",
            "telephone_number": "218-263-6600",
            "fax_number": "218-263-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA WHITNEY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "218-263-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashwauk, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.