NPIMap

Organization Active NPI

Cara Lundeen PSYD LP LLC

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1700972650
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4511 Issued in MN
Legal business name
CARA LUNDEEN PSYD LP LLC
Practice address
821 Raymond Ave Ste 140
Saint Paul, MN 55114-1509
Phone
(651) 645-5885
Fax
(651) 645-1403
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Cara Lundeen, PSYD LPNPI 1154417194
Title
Owner
Phone
(651) 645-5885

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP4511 MN Primary

Addresses

Primary practice location

821 Raymond Ave Ste 140
Saint Paul, MN 55114-1509

Mailing address

821 Raymond Ave Ste 140
Saint Paul, MN 55114-1509
Phone (651) 645-5885

Other identifiers 2

IdentifierTypeStateIssuer
89G22LUOtherMNBLUE CROSS BLUE SHEILD OF MN
522410100MedicaidMN

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1700972650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141509",
            "telephone_number": "651-645-5885",
            "fax_number": "651-645-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141509",
            "telephone_number": "651-645-5885",
            "fax_number": "651-645-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARA LUNDEEN PSYD LP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "LUNDEEN",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-645-5885",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF MN",
            "identifier": "89G22LU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522410100",
            "state": "MN"
        }
    ],
    "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 31, 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.