Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306911821 Individual Practitioner Male Practitioner

Dr. Clinton Vanlith , PsyD

Psychologist • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Dr. Clinton Vanlith, PsyD is a registered healthcare professional specializing in Psychologist in Fridley, MN. Practice services are available at 500 OSBORNE RD NE STE 255 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Osborne Rd Ne Ste 255

Fridley, MN 554322768

Telephone 7637866011
Fax 7632362505
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1912203365

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Fridley, MN (1833 Statewide)

Telehealth Adoption Rate
29.4% 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 LP3858

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License ND 315

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
10518 (ND)
Commercial Insurance / Payer ID Mn Board Of Psychology State License
LP3858 (MN)

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Lisa Mattson , MD

Obstetrics & Gynecology

NPI 1053394825

Doctor of Medicine (M.D.)

Jennifer Sullivan , WHNP

Nurse Practitioner - Women's Health

NPI 1053584789

Women's Health Nurse Practitioner

Erin Church , LICSW

Social Worker - Clinical

NPI 1083226112

Licensed Independent Clinical Social Worker

Dr. Mary Zygmunt , DO

Obstetrics & Gynecology - Gynecology

NPI 1104886407

Doctor of Osteopathic Medicine (D.O.)

Tiana Kazemi

Dermatology

NPI 1154827202
Dr. Janet Price , MD

Family Medicine

NPI 1326156043

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Psychologist (License #315 in ND)

NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2018

Registered at 500 OSBORNE RD NE STE 255, FRIDLEY, MN 554322768 (Tel: (763) 786-6011)

📍
Updated Business Mailing Address February 05, 2018

Registered at 500 OSBORNE RD NE STE 255, FRIDLEY, MN 554322768 (Tel: 7637866011)

👤
Provider Name / Credentials Updated February 05, 2018

Recorded as CLINTON VANLITH, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Psychologist (License #LP3858 in MN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1900 8TH AVE SE, MINOT, ND 587014935 (Tel: 7018575998)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 5010, MINOT, ND 587025010 (Tel: 7018575650)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLINTON VANLITH, PSYD

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

Psychologist (License #315 in ND)

🟢
Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306911821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

500 Osborne Rd Ne Ste 255

Fridley, MN 554322768

Phone: 7637866011

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.