NPIMap

Organization Active NPI

Lovaas Institute for Early Intervention - Midwest, Inc.

  • Community/Behavioral Health Agency
  • Bloomington, MN
National Provider Identifier
1487732764
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOVAAS INSTITUTE FOR EARLY INTERVENTION - MIDWEST, INC.
Practice address
3800 American Blvd W Ste 740
Bloomington, MN 55431-4422
Phone
(612) 925-8365
Fax
(612) 925-8366
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Dr. Eric Verner Larsson, P.H.D., L.P.NPI 1447338702
Title
Clinical Director
Phone
(612) 925-8365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 10211043
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X LP1531 MN
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3800 American Blvd W Ste 740
Bloomington, MN 55431-4422

Mailing address

3800 American Blvd W Ste 740
Minneapolis, MN 55431-4422
Phone (612) 925-8365

Other practice location 1

2925 Dean Pkwy
Suite 300
Minneapolis, MN 55416-4470
Phone (612) 925-8365

Other identifiers 2

IdentifierTypeStateIssuer
064951100MedicaidMN
068K2LOOtherMNBCBS OF MN

National Provider Directory

National Provider Directory

Locations

2925 Dean Pkwy
Ste 300
Minneapolis, MN 55416
Phone (612) 925-8365

3800 American Blvd W
Ste 740
Minneapolis, MN 55431
Phone (612) 925-8365

Practitioners & affiliated clinicians

Practitioners 205

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 205

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1487732764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 740",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554314422",
            "telephone_number": "612-925-8365",
            "fax_number": "612-925-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 740",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314422",
            "telephone_number": "612-925-8365",
            "fax_number": "612-925-8366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Dean Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554164470",
            "country_code": "US",
            "telephone_number": "612-925-8365",
            "fax_number": "612-925-8366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOVAAS INSTITUTE FOR EARLY INTERVENTION - MIDWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "LARSSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "VERNER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "612-925-8365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.H.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "10211043",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1531",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064951100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "068K2LO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.