Larry M Schanus PA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP 4459 Issued in MN

Legal business name

LARRY M SCHANUS PA

Practice address

21370 John Milless Dr
Rogers, MN 55374-4621

Phone

(612) 910-8391

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Marvin Schanus, PSY. D.

Title

Psychologist

Phone

(612) 910-8391

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619075058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 ARDMORE AVE",
            "city": "MAPLE PLAIN",
            "state": "MN",
            "postal_code": "553599342",
            "telephone_number": "612-910-8391",
            "fax_number": "763-479-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21370 JOHN MILLESS DR",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744621",
            "telephone_number": "612-910-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY M SCHANUS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHANUS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-910-8391",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP 4459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kusin II LLC (Fearless Fitness)
• Nicole Kvamme
• Heath Anthony Langston, CNP
• Ryleigh Laplante
• Victoria Elaine Larkin, OTR
• Andrew W. Larson, M.D.
• Nicole Larson
• Wade M. Larson, M.D.
• Han Ngoc Ly Le
• Lee Prohofsky DDS PA (Turtle Cove Dental)

• Counseling Psychologist in Rogers, MN
• Providers in Rogers, MN by specialty
• Counseling Psychologist in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.