Organization Active NPI

Anna Tierney PH.D. L.P. LLC

  • Clinical Psychologist
  • Golden Valley, MN
National Provider Identifier
1467837922
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5538 Issued in MN
Legal business name
ANNA TIERNEY PH.D. L.P. LLC
Practice address
5101 Olson Memorial Highway
#400
Golden Valley, MN 55422
Phone
(612) 237-8979
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Anna Leigh Tierney, PH.D. L. P.
Title
Licensed Psychologist
Phone
(612) 237-8979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 5538 MN Primary

Addresses

Primary practice location

5101 Olson Memorial Highway
#400
Golden Valley, MN 55422

Mailing address

5101 Olson Memorial Hwy
#400
Golden Valley, MN 55422-5149
Phone (612) 237-8979

National Provider Directory

National Provider Directory

Locations

5101 Olson Memorial Hwy
#400
Golden Valley, MN 55422
Phone (612) 237-8979

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1467837922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 OLSON MEMORIAL HWY",
            "address_2": "#400",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554225149",
            "telephone_number": "612-237-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 OLSON MEMORIAL HIGHWAY",
            "address_2": "#400",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "612-237-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA TIERNEY PH.D. L.P. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-237-8979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. L. P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.