Lynn Workman Nodland, PH.D., LMFT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 2607 Issued in MN

Practice address

684 Excelsior Blvd
Suite Number 120
Excelsior, MN 55331-1980

Phone

(952) 452-2664

Fax

(952) 401-0480

NPI assigned

Jul 31, 2006

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

Other identifiers 1

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.

• Lynn Workman Nodland, PH.D. & Associates, Inc

  • Clinical Psychologist
  • Excelsior, MN
  • NPI 1295180040
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1730194184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 EXCELSIOR BLVD STE 120",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311981",
            "telephone_number": "952-452-2664",
            "fax_number": "952-401-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 EXCELSIOR BLVD",
            "address_2": "SUITE NUMBER 120",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311980",
            "telephone_number": "952-452-2664",
            "fax_number": "952-401-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODLAND",
        "first_name": "LYNN",
        "middle_name": "WORKMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 2607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD MN",
            "identifier": "66794NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Ryan Myhre, MSW, LICSW
• Celesta Cartrite Myland, M.S.,CCC/A
• Jamie Lynn Neisen, LMT
• Eric C Newhouse, D.D.S.
• Newton H Johnson (NeuroMed)
• Danielle Marie O'Connell, DC
• Jason John O'Donnell, DC
• Angela O'Shea, LMFT
• Anna Rose Oasheim
• Michael Gregory Oasheim

• Clinical Psychologist in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.