Active NPI
Margit Alice Swanson, PSYD
- Clinical Psychologist
- Lake Elmo, MN
National Provider Identifier
1720413008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP6357
- Practice address
- 8647 Eagle Point Blvd
Lake Elmo, MN 55042-8655 - Phone
- (651) 505-3273
- Fax
- (855) 344-4350
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP6357 | MN | Primary |
Addresses
Primary practice location
8647 Eagle Point Blvd
Lake Elmo, MN 55042-8655
Mailing address
2238 11TH St
Saint Paul, MN 55110-2617
Phone (651) 261-1208
Other practice location 1
2238 11th St
Saint Paul, MN 55110-2617
Phone (651) 261-1208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 22, 2022 through Dec 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6357 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Express Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1720413008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 11TH ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551102617",
"telephone_number": "651-261-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8647 EAGLE POINT BLVD",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550428655",
"telephone_number": "651-505-3273",
"fax_number": "855-344-4350"
}
],
"practiceLocations": [
{
"address_1": "2238 11th St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551102617",
"country_code": "US",
"telephone_number": "651-261-1208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANSON",
"first_name": "MARGIT",
"middle_name": "ALICE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP6357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elmo, MN
- Laurie Lee Stodola, D.D.S.
- Hannah Strom, PT
- Alison Mae Stroobants, MPS, LPCC, LADC
- Sututa Home Healthcare Services LLC
- Anna Swanson, LICSW
- Swedehill Lifecare, LLC (BrightStar Care St. Croix Valley)
- Sweet Carol Home Care, Inc
- Cory Edward Sykora
- Tami R. Andrews (Lake Elmo Chiropractic Clinic)
- Tyler Tarman, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.