Marcy Beth Jensen Halvorson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4818 Issued in MN

Practice address

2115 County Road D E Ste C100
Maplewood, MN 55109-5354

Phone

(651) 358-7020

NPI assigned

Apr 22, 2020

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.63 of 100Reported as group

Quality

75.41

Promoting interoperability

100

Improvement activities

40

Cost

75.75

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Fairview Express Care

  dba M Health Fairview Recovery Clinic

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment Care Compare group NPD
• Summit Clinics PLLC

  dba Summit Behavioral Health

  • Psychiatry Physician
  • Maplewood, MN
  • NPI 1285290072
  Medicare reassignment
• Fairview Express Care

  dba Fairview Sports and Orthopedic Care - Wyoming

  • Multi-Specialty Clinic/Center
  • Wyoming, MN
  • NPI 1275875031
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1922628791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 COUNTY ROAD D E STE C100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095354",
            "telephone_number": "651-358-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 COUNTY ROAD D E STE C100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095354",
            "telephone_number": "651-358-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSON",
        "first_name": "MARCY",
        "middle_name": "BETH JENSEN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Hahnke, LICSW
• Heather Hall, MSW, LICSW
• Kathryn Naomi Hall, L.P.
• Michael Hall, LICSW
• Daniel Hallbeck
• Hands Care LLP
• Alison R Hanlin, OTRL
• Abdirahim Hanshi
• Gretchen L Hanson, CNNP
• Jacquelyn Hanson, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.