Organization Active NPI

Mary Clare Lindsley, LLC

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1679302780
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MARY CLARE LINDSLEY, LLC
Practice address
2435 Como Ave
Saint Paul, MN 55108-1459
Phone
(651) 300-2387
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dr. Mary Clare Lindsley, PSYDNPI 1043970338
Title
Owner
Phone
(651) 300-2387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

2435 Como Ave
Saint Paul, MN 55108-1459

Mailing address

2435 Como Ave
Saint Paul, MN 55108-1459
Phone (651) 300-2387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241108003573 MN Part B Supplier - Clinic/Group Practice 3779017041 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1679302780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081459",
            "telephone_number": "651-300-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081459",
            "telephone_number": "651-300-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CLARE LINDSLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "LINDSLEY",
        "authorized_official_first_name": "MARY CLARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-300-2387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.