Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801994843 Individual Practitioner Male Practitioner

Mark Pederson , LP

Psychologist • Buffalo, MN

Professional Overview & Biography Verified Profile Summary

Mark Pederson, LP is a registered healthcare professional specializing in Psychologist in Buffalo, MN. Practice services are available at 102 MARTY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 Marty Dr

Buffalo, MN 55313

Telephone 7636825420
Fax 7636825803
Associated Practice Facility / Clinic
🏢 Family Counseling Center Inc Facility NPI 1750483269

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Buffalo, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Buffalo, MN (1833 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP2544

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ucare
110563 (MN)
Commercial Insurance / Payer ID Healthpartners
HP18919 (MN)
Commercial Insurance / Payer ID Medica
62-20079 (MN)
Commercial Insurance / Payer ID Blue Cross Blue Shield
67D66PE (MN)
Commercial Insurance / Payer ID Preferred One
1000260 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Syric Barber , LPCC

Counselor - Professional

NPI 1124981667

Licensed Professional Clinical Counselor

NPI 1235231754

Licensed Psychologist

Mary Marty , LP

Psychologist

NPI 1356449391

Licensed Psychologist

Lewis Sego , MA LMFT

Marriage & Family Therapist

NPI 1437898160

MALMFT

NPI 1548368582

Licensed Psychologist

NPI 1568564078

Licensed Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 102 MARTY DR, BUFFALO, MN 55313 (Tel: 7636825420)

📍
Updated Business Mailing Address July 08, 2007

Registered at 102 MARTY DR, BUFFALO, MN 55313 (Tel: 7636825420)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK PEDERSON, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP2544 in MN)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801994843
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

102 Marty Dr

Buffalo, MN 55313

Phone: 7636825420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.