Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083690606 Individual Practitioner Female Practitioner

Mary Vanderloop

Psychologist • St Louis Park, MN

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mary Vanderloop is a certified Psychologist practicing in St Louis Park, MN. With approximately 31 years of clinical experience since completing medical education in 1995, Mary Vanderloop delivers high-quality medical care to the local community at 6490 EXCELSIOR BLVD.

Mary Vanderloop is affiliated with Lyn-Lake Psychotherapy And Wellness Ltd and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

6490 Excelsior Blvd
# E315

St Louis Park, MN 554264705

Telephone 9529936200
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in St Louis Park, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +12.5 yrs vs City Avg
City Avg: 18.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
82 Specialists

Practicing in St Louis Park, MN (1833 Statewide)

Telehealth Adoption Rate
29.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanderloop (31 Years) 31 Yrs
St Louis Park Specialty Average (18.5 Years) 18.5 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP3936

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.

Hospital & Practice Group Affiliations

Lyn-Lake Psychotherapy And Wellness Ltd

621 W Lake St, Minneapolis, MN 554082952

Phone: 6129792276

Practice Associates & Co-Workers

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

40 Associated Practitioners
Samantha Slinger

Occupational Therapist

NPI 1003440371
Tyann Zeal , RD, LD

Dietitian, Registered

NPI 1023480712

Registered Dietitian, Licensed Dietitian

Jacquelyn Warner , RD

Dietitian, Registered

NPI 1023483757

Registered Dietitian

Dr. Scott Hanneman , PhD, LP

Psychologist - Clinical

NPI 1043608037

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

Elizabeth Christopherson

Dietetic Technician, Registered

NPI 1053570580
Kacey Morrow

Dietitian, Registered

NPI 1104090018

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 6490 EXCELSIOR BLVD, # E315, ST LOUIS PARK, MN 554264705 (Tel: 9529936200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6465 WAYZATA BLVD, SUITE 315, MINNEAPOLIS, MN 554261728

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY VANDERLOOP

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

Psychologist (License #LP3936 in MN)

🟢
Initial NPI Registration & Enumeration December 15, 2005

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: 1083690606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

6465 Wayzata Blvd, Suite 315

Minneapolis, MN 554261728

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.