Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942285192 Individual Practitioner Male Practitioner

Dr. Mark Anderson , PHD LP

Psychologist • Fairmont, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mark Anderson, PHD LP is a registered healthcare professional specializing in Psychologist in Fairmont, MN. Practice services are available at 800 MEDICAL CENTER DR under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 Medical Center Dr

Fairmont, MN 560314575

Telephone 5072388555
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fairmont, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Fairmont, MN (1833 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
429 65 $79.11 $61.29
90837 Psychotherapy, 60 minutes
53 26 $188.26 $121.62
90791 Psychiatric diagnostic evaluation
13 13 $173.00 $123.72

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP1721

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

Medicaid State Provider ID
40D59AN (MN)
Medicaid State Provider ID
114910 (MN)
Commercial Insurance / Payer ID Avera
7314 (MN)
Commercial Insurance / Payer ID Healthpartners
HP18890 (MN)
Commercial Insurance / Payer ID Champus
A031 (MN)
Commercial Insurance / Payer ID Preferredone
MH9041009757 (MN)
Commercial Insurance / Payer ID Araz
862668 (MN)
Commercial Insurance / Payer ID Blue Cross
40D59AN (MN)

Practice Associates & Co-Workers

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

28 Associated Practitioners
David Krusemark , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003891615

Certified Registered Nurse Anesthetist

Anne Sheppard , RD

Dietitian, Registered

NPI 1073597159

Registered Dietitian

NPI 1093799603

Doctor of Medicine (M.D.)

NPI 1114901733

Doctor of Optometry

Timothy Toso

Emergency Medicine

NPI 1114902624
NPI 1114904869

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 800 MEDICAL CENTER DR, FAIRMONT, MN 560314575 (Tel: 5072388555)

📍
Updated Business Mailing Address July 09, 2007

Registered at 800 MEDICAL CENTER DR, PO BOX 800, FAIRMONT, MN 560314575 (Tel: 5072388555)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MARK ANDERSON, PHD LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #LP1721 in MN)

🟢
Initial NPI Registration & Enumeration December 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Anderson. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Anderson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1942285192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2005
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

800 Medical Center Dr, Po Box 800

Fairmont, MN 560314575

Phone: 5072388555

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.