Active NPI
Mercer Psychological Services PLLC
- Counseling Psychologist
- Minneapolis, MN
National Provider Identifier
1487156618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP5315
- Legal business name
- MERCER PSYCHOLOGICAL SERVICES PLLC
- Practice address
- 410 E 48TH St Ste 3
Minneapolis, MN 55419-5651 - Phone
- (612) 669-4015
- NPI assigned
- Mar 4, 2018
- Last updated
- Mar 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashley Nicole Mercer, PSYD
- Title
- Psychologist
- Phone
- (612) 669-4015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP5315 | MN | Primary |
Addresses
Primary practice location
410 E 48TH St Ste 3
Minneapolis, MN 55419-5651
Mailing address
5852 Upton Ave S
Minneapolis, MN 55410-2959
Phone (612) 669-4015
National Provider Directory
National Provider DirectoryLocations
410 E 48th St
Ste 3
Minneapolis, MN 55419
Phone (612) 669-4015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520121600000",
"number": "1487156618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5852 UPTON AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554102959",
"telephone_number": "612-669-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E 48TH ST STE 3",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554195651",
"telephone_number": "612-669-4015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCER PSYCHOLOGICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-04",
"last_updated": "2018-03-04",
"status": "A",
"authorized_official_last_name": "MERCER",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "612-669-4015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP5315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 4, 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.