Carolyn Dorothy Parsons, PSYD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3198 Issued in MN

Practice address

7040 Lakeland Ave North
#208 Parsons Psychological Services, LLC
Brooklyn Park, MN 55428

Phone

(763) 566-1174

Fax

(763) 503-4692

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1669490066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAKELAND AVE NORTH",
            "address_2": "#208 PARSONS PSYCHOLOGICAL SERVICES, LLC",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55428",
            "telephone_number": "763-566-1174",
            "fax_number": "763-503-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAKELAND AVE NORTH",
            "address_2": "#208 PARSONS PSYCHOLOGICAL SERVICES, LLC",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55428",
            "telephone_number": "763-566-1174",
            "fax_number": "763-503-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "CAROLYN",
        "middle_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854219800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.