Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992852602 Individual Practitioner Female Practitioner

Dr. Jane Marie Vansickle , PhD, LP

Psychologist • Granite Falls, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jane Vansickle, PhD, LP is a certified Psychologist practicing in Granite Falls, MN. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Vansickle delivers high-quality medical care to the local community at 345 10TH AVE.

Dr. Vansickle is affiliated with Avera Granite Falls and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

345 10th Ave

Granite Falls, MN 562411442

Telephone 3205646200
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Granite Falls, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Granite Falls, MN (1833 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vansickle (9 Years) 9 Yrs
Granite Falls Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP3973

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License NC 10537

Definition to come...

Hospital & Practice Group Affiliations

Avera Granite Falls

345 10th Ave, Granite Falls, MN 562411499

Avera Granite Falls

345 10th Ave, Granite Falls, MN 562411442

Phone: 3205643111

Secondary Practice Locations

152 Capcom Ave Ste 101

Wake Forest, NC 275876585

Phone: 9198180382

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Vicky Moe , MD

Family Medicine

NPI 1265662431

Doctor of Medicine (M.D.)

Taylor Bradshaw , CNP

Nurse Practitioner

NPI 1750044947

Certified Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address January 20, 2019

Registered at 345 10TH AVE, GRANITE FALLS, MN 562411442 (Tel: 6125646200)

👤
Provider Name / Credentials Updated January 20, 2019

Recorded as JANE VANSICKLE, PHD, LP

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2017

Registered at 345 10TH AVE, GRANITE FALLS, MN 562411442 (Tel: 3205646200)

📍
Updated Business Mailing Address July 10, 2017

Registered at 220 10TH AVE, GRANITE FALLS, MN 562411432 (Tel: (612) 321-2177)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as JANE VANSICKLE, MS, MA, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Counselor (License #10537 in NC)

NPI Profile Active February 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2014

Registered at 152 CAPCOM AVE STE 101, WAKE FOREST, NC 275876585 (Tel: 9198180382)

📍
Updated Business Mailing Address February 14, 2014

Registered at 128 WATERSTONE LN, ROLESVILLE, NC 275719461 (Tel: 9198180382)

👤
Provider Name / Credentials Updated February 14, 2014

Recorded as JANE VANSICKLE, MS, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2014

Counselor (License #10537 in NC)

🟢
Initial NPI Registration & Enumeration January 04, 2007

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: 1992852602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: January 20, 2019
Sole Proprietor: No

Mailing Address

345 10th Ave

Granite Falls, MN 562411442

Phone: 6125646200

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.