Individual provider Active NPI

Andrine Marie Lemieux, PH.D., L.P.

  • Clinical Neuropsychologist
  • Duluth, MN
National Provider Identifier
1750537874
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
LP4322 Issued in MN
Practice address
314 W Superior St
Suite 600
Duluth, MN 55802-1805
Phone
(218) 727-7353
Fax
(218) 727-2646
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X LP4322 MN Primary

Addresses

Primary practice location

314 W Superior St
Suite 600
Duluth, MN 55802-1805

Mailing address

314 W Superior St
Suite 600
Duluth, MN 55802-1805
Phone (218) 727-7353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP4322MNMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Psychological & Sexual Health, Inc. Clinical Neuropsychologist PastSince Apr 1, 2011 Accepting new patients
St. Cloud Neurobehavioral Associates PA PastSince Jan 24, 2020 Accepting new patients

Organizations & group practices 2

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1750537874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W SUPERIOR ST",
            "address_2": "SUITE 600",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021805",
            "telephone_number": "218-727-7353",
            "fax_number": "218-727-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W SUPERIOR ST",
            "address_2": "SUITE 600",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021805",
            "telephone_number": "218-727-7353",
            "fax_number": "218-727-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "ANDRINE",
        "middle_name": "MARIE",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP4322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.