Organization Active NPI

Loomis Neuro Psychology Services PLLC

  • Clinical Psychologist
  • Brooklyn Park, MN
National Provider Identifier
1710847637
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LOOMIS NEURO PSYCHOLOGY SERVICES PLLC
Practice address
7100 Northland Cir N Ste 308
Brooklyn Park, MN 55428-1500
Phone
(763) 344-8861
Fax
(763) 344-8841
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Lana Loomis, PHD, LPNPI 1376370023
Title
Owner
Phone
(763) 344-8861

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 Primary

Addresses

Primary practice location

7100 Northland Cir N Ste 308
Brooklyn Park, MN 55428-1500

Mailing address

7100 Northland Cir N Ste 308
Brooklyn Park, MN 55428-1500
Phone (763) 344-8861

Other names 1

  • Lana M Loomis Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260226001331 MN Part B Supplier - Clinic/Group Practice 5991286064 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn Park, MN

National Provider Directory

National Provider Directory

Locations

7100 Northland Cir N
Ste 308
Brooklyn Park, MN 55428
Phone (763) 344-8861

Practitioners & affiliated clinicians

Practitioners 1

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": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1710847637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIR N STE 308",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281500",
            "telephone_number": "763-344-8861",
            "fax_number": "763-344-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIR N STE 308",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281500",
            "telephone_number": "763-344-8861",
            "fax_number": "763-344-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOMIS NEURO PSYCHOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-344-8861",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lana M Loomis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.