Marietta Mume Hoogs, PHD, LP, ABPP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

LP5639 Issued in MN

Practice address

501 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6772

Phone

(952) 435-8516

Fax

(763) 302-4336

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.39 of 100Reported as group

Quality

84.12

Promoting interoperability

100

Improvement activities

40

Cost

83.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhoogs167992@direct.northmemorial.com

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.

• Marietta Hoogs, PHD, PLLC

  • Clinical Neuropsychologist
  • Apple Valley, MN
  • NPI 1598502536
  Medicare reassignment NPD Authorized official
• Minneapolis Clinic of Neurology, LTD

  • Neurology Physician
  • Golden Valley, MN
  • NPI 1992739247

  Clinical Neuropsychologist

  Medicare reassignment NPD
• Laboratory Corportation of America Holdings

  • Clinical Medical Laboratory
  • Edina, MN
  • NPI 1316442478
  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1497019475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E NICOLLET BLVD STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376772",
            "telephone_number": "952-435-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E NICOLLET BLVD STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376772",
            "telephone_number": "952-435-8516",
            "fax_number": "763-302-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W 66th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352109",
            "country_code": "US",
            "telephone_number": "952-920-7200",
            "fax_number": "763-302-4234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOGS",
        "first_name": "MARIETTA",
        "middle_name": "MUME",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008806",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP5639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497019475",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhoogs167992@direct.northmemorial.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "501 E Nicollet Blvd Ste 100",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553376772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Allen Holmquist, PHYSICAL THERAPIST
• Alyce Margaret Holtan, DPT
• Home to Home Healthcare Service
• Homebridge Care
• Homestead Diversity LLC
• Hope Counseling Services Corp
• Hope Therapy Service LLC
• Hope Tree Therapy and Wellness, PLLC
• Valor Hopes, CNM
• Carolyn Marie Hopia

• Clinical Neuropsychologist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.