Jared Andersson, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP5145 Issued in MN

Practice address

14451 Highway 7 Ste 2a
Minnetonka, MN 55345-3728

Phone

(612) 280-3662

NPI assigned

Oct 26, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1891167250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 ELLENDALE LN",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174747",
            "telephone_number": "612-280-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14451 HIGHWAY 7 STE 2A",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453728",
            "telephone_number": "612-280-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSSON",
        "first_name": "JARED",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Anderson, M.D.
• Renner S Anderson, M.D.
• Robert Anderson, D.O.
• Romala Jayalakshmi Anderson, MA, LMFT
• Zeldie Mae Anderson
• Joshua Michael Andreae
• Wanda W Andrews, PA-C
• Gail R Andrewski, CRNA
• Katie J Angell, MSW
• Teresa P Angier, PA-C

• Psychologist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.