Lynsey R Miron, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6193 Issued in MN

Practice address

5838 Blackshire Path
Inver Grove Heights, MN 55076

Phone

(651) 497-4432

Fax

(651) 455-4811

NPI assigned

May 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minnesota Evidence-Based Therapy & Assessment Clinic, LLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1487047346
  NPD (past)

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1336638097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761607",
            "fax_number": "651-455-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "55076",
            "telephone_number": "651-497-4432",
            "fax_number": "651-455-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRON",
        "first_name": "LYNSEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Mikos
• Michael Joseph Miler, DDS
• April I Miller, M.D.
• Sonja Mims-Lewis, LADC
• Minnesota Orthodontics and Dentofacial Orthopedics PA
• Ayaan Abdul Mohamed
• Najma Mohamud
• Jane Blowers Moore, M.D.
• Barbara Rosemary Moranchek, PCD(DONA)
• Emily Moris, DPT

• Clinical Psychologist in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.