Ardith Ann Messicci, MA LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0951 Issued in MN

Practice address

13700 83Rd Way
Suite 205
Maple Grove, MN 55369-7015

Phone

(763) 494-8699

Fax

(763) 494-8797

NPI assigned

Nov 20, 2006

Sex

Female

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Maple Grove Counseling Center PA

  • Psychologist
  • Maple Grove, MN
  • NPI 1164496071
  NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447324512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 AUGER AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104617",
            "telephone_number": "541-429-1326",
            "fax_number": "763-494-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 83RD WAY",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697015",
            "telephone_number": "763-494-8699",
            "fax_number": "763-494-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSICCI",
        "first_name": "ARDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH MEDICA",
            "identifier": "6229932",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF 1",
            "identifier": "1012797",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAS PPO",
            "identifier": "PS1226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "3H756ME",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nazih Mergoum
• Jerome Patrick Merkel, MD
• Jeffrey Merriam, CRNA
• David Mersy, MD
• Mesm, LLC
• Metropolitan Gastrointestinal Specialists
• Metropolitan Surgical Center, LLC
• Anna Corinne Meyer, M.D.
• Megan Elizabeth Meyer, M.S.
• Pernilla Yvonne Meyer

• Psychologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.