Individual provider Active NPI

Lou Ann Mayhew, LICENSEDPSYCHOLOGIST

  • Psychologist
  • Mankato, MN
National Provider Identifier
1821295684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP3797 Issued in MN
Practice address
319 E Hickory St
Horizon Homes, Inc. Irts
Mankato, MN 56001-3746
Phone
(507) 344-3367
Fax
(507) 344-3372
NPI assigned
Jun 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP3797 MN Primary

Addresses

Primary practice location

319 E Hickory St
Horizon Homes, Inc. Irts
Mankato, MN 56001-3746

Mailing address

39997 405TH LN
Saint Peter, MN 56082-4271
Phone (507) 246-5345

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP3797MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Homes, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821295684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39997 405TH LN",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824271",
            "telephone_number": "507-246-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E HICKORY ST",
            "address_2": "HORIZON HOMES, INC. IRTS",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013746",
            "telephone_number": "507-344-3367",
            "fax_number": "507-344-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHEW",
        "first_name": "LOU ANN",
        "credential": "LICENSEDPSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.