Organization provider

MELISSA ANDERSON PSYCHOLOGICAL SERVICES, PLLC

Clinical Psychologist Marriage & Family Therapist Medicare enrolled

MELISSA ANDERSON PSYCHOLOGICAL SERVICES, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1306224365, based in Moose Lake, MN. The organization lists 2 taxonomy classifications, with Clinical Psychologist recorded as primary.

Getting there

The practice address on file is 316 ELM AVE, Moose Lake, MN 55767. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

316 ELM AVE, Moose Lake, MN 55767 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5864 MN Clinical Psychologist primary
1494 MN Marriage & Family Therapist

This provider holds licence 5864 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0547589723
Enrollment ID
O20150611002223

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical 5864 MN primary
106H00000X Marriage & Family Therapist 1494 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1306224365 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 11, 2015
Last updatedMay 11, 2015
StatusActive
Practice address 316 ELM AVE
Moose Lake, MN 55767
(218) 485-4445
Fax (218) 485-0477
Other identifiers 094906000 · Medicaid (MN)
This record was last updated on May 11, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1306224365 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 0 6 2 2 4 3 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 0 6 4 2 8 3 3

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1306224365?
NPI 1306224365 is the National Provider Identifier assigned to MELISSA ANDERSON PSYCHOLOGICAL SERVICES, PLLC in Moose Lake, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact MELISSA ANDERSON PSYCHOLOGICAL SERVICES, PLLC?
The phone number on file with NPPES is (218) 485-4445, last updated May 11, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does MELISSA ANDERSON PSYCHOLOGICAL SERVICES, PLLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1306224365 a valid number?
Yes. 1306224365 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.