Lynne Merwin Merwin Jesewitz, MA, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5168 Issued in MN

Practice address

7575 Golden Valley Rd
Suite 230
Golden Valley, MN 55427-4562

Phone

(763) 525-8590

Fax

(763) 525-8592

NPI assigned

Apr 20, 2007

Last updated

Apr 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lynne Merwin Jesewitz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathways Psychological Services, P.a.

  • Mental Health Counselor
  • Plymouth, MN
  • NPI 1366443723
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1548487390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD",
            "address_2": "SUITE 230",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274562",
            "telephone_number": "763-525-8590",
            "fax_number": "763-525-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD",
            "address_2": "SUITE 230",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274562",
            "telephone_number": "763-525-8590",
            "fax_number": "763-525-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERWIN JESEWITZ",
        "first_name": "LYNNE",
        "middle_name": "MERWIN",
        "name_prefix": "Ms.",
        "credential": "MA, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "JESEWITZ",
            "middle_name": "MERWIN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paul Larry Melsness, MSPT
• Mercy Home Health Inc
• Meridian Psychological Services, Inc
• Meridian Services, Inc
• Meridian Services, Inc
• Megan Metelak, OTR/L
• Jessica Metzger, L.M.F.T.
• Andrew Steven Meyer, PHARMD
• Leslie Johnson Meyer, MA LP
• MH Health Care Services, PC (General Mill Golden Valley)

• Clinical Psychologist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.