NPIMap

Organization Active NPI

Mental Health Systems PC

  • Psychologist
  • Edina, MN
National Provider Identifier
1497835656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MENTAL HEALTH SYSTEMS PC
Practice address
7200 France Ave
Ste 327
Edina, MN 55435-4310
Phone
(952) 835-2002
Fax
(952) 835-9889
NPI assigned
Oct 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Richard Carlson, PSYD LPNPI 1891875050
Title
President
Phone
(952) 835-2002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7200 France Ave
Ste 327
Edina, MN 55435-4310

Mailing address

7200 France Ave
Ste 327
Edina, MN 55435-4310
Phone (952) 835-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041129000593 MN Part B Supplier - Clinic/Group Practice 5496710790 Receives reassigned benefits from 49 practitioners
Practice locations: Edina, MN; Plymouth, MN

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7200 France Ave S
Ste 135
Edina, MN 55435
Phone (612) 419-9808

7200 France Ave S
Ste 327
Edina, MN 55435
Phone (952) 835-2002

11272 86th Ave N
Ste A
Maple Grove, MN 55369
Phone (763) 416-0915

6600 France Ave S
Ste 230
Minneapolis, MN 55435
Phone (952) 460-9007

3033 Campus Dr
Ste E180
Plymouth, MN 55441
Phone (952) 460-9038

6043 Hudson Rd
Ste 290
Woodbury, MN 55125
Phone (651) 268-1363

6063 Hudson Rd
Ste 200
Woodbury, MN 55125
Phone (952) 460-9041

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497835656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 FRANCE AVE",
            "address_2": "STE 327",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354310",
            "telephone_number": "952-835-2002",
            "fax_number": "952-835-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 FRANCE AVE",
            "address_2": "STE 327",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354310",
            "telephone_number": "952-835-2002",
            "fax_number": "952-835-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH SYSTEMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-835-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.