Gail Rose Maudal, PH.D., L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1096 Issued in MN

Practice address

325 E Main St
Anoka Courthouse
Anoka, MN 55303-2401

Phone

(000) 000-0000

NPI assigned

Feb 20, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Associated Counseling Services, PLLC

  • Forensic Psychologist
  • Little Canada, MN
  • NPI 1093859332
  NPD (past) Authorized official

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1669640983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 EDGERTON ST",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171620",
            "telephone_number": "651-484-1544",
            "fax_number": "651-415-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "address_2": "ANOKA COURTHOUSE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032401",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUDAL",
        "first_name": "GAIL",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Marshall
• Lindsey Mason, MA, LPCC
• Kristin R Masterton, LICSW
• Trisha Matter
• Nora Matthews, LPCC
• Sonia Mayren
• Susan Joy McCallum, MA
• Nathan McCormick
• Eleanor Nicole McCoy
• Karen Ingrid McCoy, OTR/L

• Psychologist in Anoka, MN
• Providers in Anoka, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.