Active NPI
Rosamond Thompson, MA,LP
- Psychologist
- Minneapolis, MN
National Provider Identifier
1477875490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP5088
- Practice address
- 3801 W 50TH St Ste 250B
Minneapolis, MN 55410-2070 - Phone
- (612) 400-9685
- Fax
- (612) 437-4795
- NPI assigned
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP5088 | MN | Primary |
Addresses
Primary practice location
3801 W 50TH St Ste 250B
Minneapolis, MN 55410-2070
Mailing address
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone (651) 628-9566
Other names 1
- Rosamond Parker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5088 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Power of Relationships | Past | Accepting new patients |
Locations
6600 France Ave S
Ste 425
Edina, MN 55435
Phone (952) 243-8300
3801 W 50th St
Ste 250B
Minneapolis, MN 55410
Phone (612) 400-9685
1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704
Organizations & group practices 2
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.
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Case Management Agency
- Golden Valley, MN
- NPI 1932261377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1477875490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121786",
"telephone_number": "651-628-9566",
"fax_number": "651-628-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 W 50TH ST STE 250B",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554102070",
"telephone_number": "612-400-9685",
"fax_number": "612-437-4795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ROSAMOND",
"credential": "MA,LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP5088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSAMOND",
"last_name": "PARKER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.