The Terrace Group Ltd
NPI 1114974201ActiveOrganization· Psychologist, Clinical· Minnetonka, MN
Psychologist, Clinical in Minnetonka, Minnesota, registered in NPPES in May 2006. The authorized official on file is Leland Karl Martin, PHD LP, Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114974201 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2006 |
| Last updated in NPPES | Mar 27, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP3094 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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