Laura Jean Nielsen, PSY.D., LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 4759 Issued in MN

Practice address

366 Selby Ave
Suite 306
Saint Paul, MN 55102-1880

Phone

(651) 769-3360

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laura Jean Farmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1841497864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 13TH AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551092440",
            "telephone_number": "651-769-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SELBY AVE",
            "address_2": "SUITE 306",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021880",
            "telephone_number": "651-769-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "PSY.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 4759",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP 4759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "FARMER",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Elizabeth Niedermayer
• Aline Marie Niehues, CNP
• Casey Claire Rose Nielsen
• Jenna Nielsen
• Kirsten Nielsen, R.D.
• Peter Nielsen
• Sara Nielsen, DNP, FNP-BC, APRN
• Sara Ann Nielsen
• Katherine Nielson, MD
• Linda Maxine Nielson, R.N.

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.