Organization Active NPI

Psychological Services LLC

  • Group Psychotherapy Psychologist
  • Redwood Falls, MN
National Provider Identifier
1932285525
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
LP4330 Issued in MN
Legal business name
PSYCHOLOGICAL SERVICES LLC
Practice address
126 E 2ND St
Office #1
Redwood Falls, MN 56283-1695
Phone
(507) 627-1750
Fax
(507) 627-1751
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Angela Peterson, PSYD,LP
Title
President
Phone
(507) 627-1750

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X LP4330 MN
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LP4330 MN
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X LP4330 MN
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X LP4330 MN
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X LP4330 MN
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X LP4330 MN
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X LP4330 MN Primary

Addresses

Primary practice location

126 E 2ND St
Office #1
Redwood Falls, MN 56283-1695

Mailing address

126 E 2ND St
Office #1
Redwood Falls, MN 56283-1695
Phone (507) 627-1750

Other identifiers 2

IdentifierTypeStateIssuer
970S8CLOtherMNBLUE CROSS BLUE SHIELD
6178609OtherMNMEDICA

National Provider Directory

National Provider Directory

Locations

316 4th St SW
Ste 6
Willmar, MN 56201
Phone (320) 214-7250

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1932285525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E 2ND ST",
            "address_2": "OFFICE #1",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831695",
            "telephone_number": "507-627-1750",
            "fax_number": "507-627-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E 2ND ST",
            "address_2": "OFFICE #1",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831695",
            "telephone_number": "507-627-1750",
            "fax_number": "507-627-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-627-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD,LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4330",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4330",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4330",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP4330",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "LP4330",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MN",
            "license": "LP4330",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "LP4330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "970S8CL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6178609",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.