North Central Psychological Consultants, Inc.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

NORTH CENTRAL PSYCHOLOGICAL CONSULTANTS, INC.

Practice address

12760 Aberdeen St NE
Suite 212
Blaine, MN 55449-5845

Phone

(651) 600-2727

Fax

(612) 656-3031

NPI assigned

Jun 11, 2009

Last updated

Aug 28, 2013By 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. Marie Lynn Anderson, PSYD, LP, LMFTNPI 1194976407

Title

Clinic Director/Owner

Phone

(651) 600-2727

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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.

• Marie Lynn Anderson, PSYD, LP, LMFT

  • Counseling Psychologist
  • Blaine, MN
  • NPI 1194976407
  Authorized official Same address or phone

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1861629206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE",
            "address_2": "SUITE 212",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495845",
            "telephone_number": "651-600-2727",
            "fax_number": "612-656-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE",
            "address_2": "SUITE 212",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495845",
            "telephone_number": "651-600-2727",
            "fax_number": "612-656-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL PSYCHOLOGICAL CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "651-600-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Blaine, MN
• Providers in Blaine, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.