Individual provider Active NPI

Larry Howard Zarling, MA LP

  • Psychologist
  • Baxter, MN
National Provider Identifier
1487956033
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5239 Issued in MN
Practice address
7115 Forthun Road
Suite 105
Baxter, MN 56425
Phone
(218) 454-0090
Fax
(218) 454-0091
NPI assigned
Dec 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP5239 MN Primary
Cognitive & Behavioral Psychologist 103TB0200X LP5239 MN

Addresses

Primary practice location

7115 Forthun Road
Suite 105
Baxter, MN 56425

Mailing address

7115 Forthun Road
Suite 105
Baxter, MN 56425
Phone (218) 454-0090

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

LicenseStateTypeSpecialty
LP5239MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1487956033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 FORTHUN ROAD",
            "address_2": "SUITE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-454-0090",
            "fax_number": "218-454-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 FORTHUN ROAD",
            "address_2": "SUITE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-454-0090",
            "fax_number": "218-454-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARLING",
        "first_name": "LARRY",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "MA LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5239",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP5239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.