Individual provider Active NPI

Amy Joan Lokensgard, PSY.D., L.P.

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1467683755
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5083 Issued in MN
Practice address
333 Grand Ave Ste 201
Saint Paul, MN 55102-2583
Phone
(651) 734-5922
Fax
(855) 574-5393
NPI assigned
Aug 4, 2009
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP5083 MN Primary

Addresses

Primary practice location

333 Grand Ave Ste 201
Saint Paul, MN 55102-2583

Mailing address

333 Grand Ave Ste 201
Saint Paul, MN 55102-2583
Phone (651) 734-5922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000089 MN Practitioner - Clinical Psychologist 2961540778 Practice locations: Saint Paul, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

393 Dunlap St N
Suite 450D
Saint Paul, MN 55104-4238
Phone (651) 734-5922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP5083MNMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1467683755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022583",
            "telephone_number": "651-734-5922",
            "fax_number": "855-574-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022583",
            "telephone_number": "651-734-5922",
            "fax_number": "855-574-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOKENSGARD",
        "first_name": "AMY",
        "middle_name": "JOAN",
        "credential": "PSY.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.