Amy Carrison, LP, LADC
NPI 1750700027ActiveIndividual· Psychologist· Mendota Heights, MN
Psychologist (LP, LADC) in Mendota Heights, Minnesota, licensed in MN, with an NPI issued in April 2014. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1750700027 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LP, LADC |
| Sole proprietor | Yes |
| NPI issued | Apr 15, 2014 |
| Last updated in NPPES | Apr 13, 2023 |
| Certified by provider | Apr 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6587 | MN |
| Psychologist | 103T00000X | — | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 301529 | 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 Practitioner - Clinical Psychologist (MN) |
|---|
Other Psychologist providers in Mendota Heights
- 1770355026
- 1972084226
- 1194195248
- 1053397646
- 1205764065