Individual provider Active NPI

John Anthony Loraas, PH.D.

  • Clinical Psychologist
  • Apple Valley, MN
National Provider Identifier
1487716940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
MN LP 3963 Issued in MN
Practice address
7373 147TH St W Ste 180
Apple Valley, MN 55124-7689
Phone
(952) 432-3220
Fax
(952) 891-4622
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MN LP 3963 MN Primary

Addresses

Primary practice location

7373 147TH St W Ste 180
Apple Valley, MN 55124-7689

Mailing address

7373 147TH St W Ste 180
Apple Valley, MN 55124-7689
Phone (952) 432-3220

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
I20051201000207 MN Practitioner - Clinical Psychologist 3971523242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7373 147TH St W
Suite 166
Apple Valley, MN 55124-7823
Phone (952) 432-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MN LP 3963MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Loraas, PH.D., P.a. Clinical CurrentSince Oct 1, 2003 Accepting new patients
Dakota Valley Psychologists Past Accepting new patients

Locations

7373 147th St W
Ste 180
Apple Valley, MN 55124
Phone (952) 432-3220

7373 147th St W
Ste 166
Saint Paul, MN 55124
Phone (612) 405-9015

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487716940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 147TH ST W STE 180",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247689",
            "telephone_number": "952-432-3220",
            "fax_number": "952-891-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 147TH ST W STE 180",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247689",
            "telephone_number": "952-432-3220",
            "fax_number": "952-891-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORAAS",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "MN LP 3963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.