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Deactivated NPI 1194823773 Deactivated / Inactive NPI Female Practitioner

Jane Elizabeth Anderson , MA, LP

Psychologist • Shoreview, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jane Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date July 10, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Jane Anderson, MA, LP was a registered Psychologist practicing in Shoreview, MN. Throughout an active medical career spanning 14 years, Jane Anderson provided care at the practice location at 3570 LEXINGTON AVE N until profile deactivation on 2020-07-10.

Practice Location & Contact Primary Location

Practice Address

3570 Lexington Ave N
Suite 102

Shoreview, MN 551268049

Telephone 6128254407
Fax 6128250768
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Shoreview, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Shoreview, MN (1833 Statewide)

Telehealth Adoption Rate
10.0% 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 3558

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.

Practice Associates & Co-Workers

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

20 Associated Practitioners
Lois Jonet , LMFT, LP

Marriage & Family Therapist

NPI 1043318728

Licensed Marriage and Family Therapist, Licensed Psychologist

NPI 1073611729

Licensed Independent Clinical Social Worker

Noriko Balken , LMFT

Marriage & Family Therapist

NPI 1164520698

Licensed Marriage and Family Therapist

NPI 1164520730

Master of Arts, Licensed Psychologist

NPI 1215035878

Licensed Independent Clinical Social Worker

NPI 1225138084

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 10, 2020

Record deactivated on July 10, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3570 LEXINGTON AVE N, SUITE 102, SHOREVIEW, MN 551268049 (Tel: 6128254407)

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Updated Business Mailing Address July 08, 2007

Registered at 3108 HENNEPIN AVE, MINNEAPOLIS, MN 554082619 (Tel: 6128254407)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JANE ANDERSON, MA, LP

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

Psychologist (License #3558 in MN)

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Initial NPI Registration & Enumeration September 20, 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: 1194823773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2007
Deactivation Date: July 10, 2020

Mailing Address

3108 Hennepin Ave

Minneapolis, MN 554082619

Phone: 6128254407

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

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