Organization Active NPI

Anderson Psychological Services, L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
National Provider Identifier
1871619577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ANDERSON PSYCHOLOGICAL SERVICES, L.L.C.
Practice address
15 Groveland Ter
Suite 302
Minneapolis, MN 55403-1154
Phone
(612) 374-2400
Fax
(612) 374-2401
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Deborah Lynne Anderson, PSY.D, LPNPI 1407938723
Title
Licenced Psychologist
Phone
(612) 374-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

15 Groveland Ter
Suite 302
Minneapolis, MN 55403-1154

Mailing address

15 Groveland Ter
Suite 302
Minneapolis, MN 55403-1154
Phone (612) 374-2400

National Provider Directory

National Provider Directory

Locations

15 Groveland Ter
Ste 302
Minneapolis, MN 55403
Phone (612) 374-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871619577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GROVELAND TER",
            "address_2": "SUITE 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031154",
            "telephone_number": "612-374-2400",
            "fax_number": "612-374-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GROVELAND TER",
            "address_2": "SUITE 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031154",
            "telephone_number": "612-374-2400",
            "fax_number": "612-374-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PSYCHOLOGICAL SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "LICENCED PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-374-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.