Individual provider Active NPI

Lisa Froehling, PSY.D., LP

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1639198443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4376 Issued in MN
Practice address
821 Raymond Ave
Suite 140
Saint Paul, MN 55114-1503
Phone
(651) 645-6776
Fax
(651) 645-1403
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4376 MN Primary

Addresses

Primary practice location

821 Raymond Ave
Suite 140
Saint Paul, MN 55114-1503

Mailing address

821 Raymond Ave
Suite 140
Saint Paul, MN 55114-1503
Phone (651) 645-6776

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061012000052 MN Practitioner - Clinical Psychologist 6709882848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

821 Raymond Ave
Suite 140
Saint Paul, MN 55114-1509
Phone (651) 645-6776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Froehling Psy.D. L.P., LLC Clinical CurrentSince Sep 18, 2006 Accepting new patients
Cara Lundeen PSYD LP LLC Clinical PastSince Sep 18, 2006 Accepting new patients

Locations

821 Raymond Ave
Ste 140
Saint Paul, MN 55114
Phone (651) 645-5885

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639198443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE",
            "address_2": "SUITE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-645-6776",
            "fax_number": "651-645-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE",
            "address_2": "SUITE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-645-6776",
            "fax_number": "651-645-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEHLING",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.