MEDICINE LAKE CONSULTATION GROUP,PLLC
MEDICINE LAKE CONSULTATION GROUP,PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1881753564, based in St Louis Park, MN. The organization lists 2 taxonomy classifications, with Psychiatry Physician recorded as primary.
Getting there
The practice address on file is 1155 FORD ROAD UNIT B, St Louis Park, MN 55426. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2084P0800X | Psychiatry Physician primary | |
| 103TC0700X | MN | Clinical Psychologist |
This provider holds licence 2084P0800X issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychiatry covers
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. NUCC Health Care Provider Taxonomy, code 2084P0800X
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.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician Psychiatry | 2084P0800X | — | primary |
| 103TC0700X | Clinical Psychologist Clinical | 103TC0700X | 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.
| NPI | 1881753564 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 8, 2006 |
| Last updated | Jan 23, 2015 |
| Status | Active |
| Practice address |
1155 FORD ROAD UNIT B St Louis Park, MN 55426 (952) 378-1800 Fax (952) 378-1714 |
Number check
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 | 8 | 8 | 1 | 7 | 5 | 3 | 5 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 7 | 1 | 5 | 5 | 6 | 5 | 3 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
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.