Mahlen Psychological Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5600 Issued in MN

Legal business name

MAHLEN PSYCHOLOGICAL SERVICES LLC

Practice address

18315 Cascade Dr
Ste: 165
Eden Prairie, MN 55347-1180

Phone

(612) 695-0071

Fax

(952) 767-5087

NPI assigned

Feb 10, 2016

Last updated

Apr 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Lee Mahlen, PSY.D L.P.NPI 1205136231

Title

Owner-Psychologist

Phone

(612) 695-0071

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Lee Mahlen, PSY. D.

  • Clinical Psychologist
  • Eden Prairie, MN
  • NPI 1205136231
  Medicare reassignment NPD Authorized official
• Yael M Rubin, LPCC

  • Professional Counselor
  • Chanhassen, MN
  • NPI 1447574884
  NPD (past)

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1790143378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 CASCADE DR",
            "address_2": "STE: 165",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471180",
            "telephone_number": "612-695-0071",
            "fax_number": "952-767-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 CASCADE DR",
            "address_2": "STE: 165",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471180",
            "telephone_number": "612-695-0071",
            "fax_number": "952-767-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHLEN PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "MAHLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER-PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-695-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D L.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Michael Magnuson, RPH, PHARMD
• Mustafa Abdi Mahad
• Hawa Mahamed
• Roda Mahamoud
• Kirsten Dynea Maher, PHARMD
• Jason Lee Mahlen, PSY. D.
• Omar Ahmad Mahmood, M.D.
• Calvin Mai, DPT
• Jesse Leaf Maistrovich, PSYD
• Sarah L Mallak, PHARM.D.

• Community/Behavioral Health Agency in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.