Daniel Legerski, Psy.D., LP, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4384 Issued in MN

Legal business name

DANIEL LEGERSKI, PSY.D., LP, LLC

Practice address

5200 Willson Rd
Suite 205
Edina, MN 55424-1332

Phone

(952) 200-9804

Fax

(952) 920-2461

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Louis Legerski, PSY.D., L.P.NPI 1083796916

Title

Owner

Phone

(952) 200-9804

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Daniel L Legerski, PSY D LP

  • Clinical Psychologist
  • Edina, MN
  • NPI 1083796916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1730451923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD",
            "address_2": "SUITE 205",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "952-200-9804",
            "fax_number": "952-920-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD",
            "address_2": "SUITE 205",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "952-200-9804",
            "fax_number": "952-920-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL LEGERSKI, PSY.D., LP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "LEGERSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-200-9804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156798500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessee Ann Daley, MA, LPCC
• Kelli F Daly, ANP
• Dan-MN, Inc
• Vinh Dang, MPAS, PA-C
• Daniel L Wise, PH.D., PA
• Jessica Lynn Daniels, M.A. SLP
• Mari Daniels, M.D.
• Shannon L Daniels, MD
• Constance Jennifer Dankle, D.O.
• Timothy J Darby, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.