Jane Marie Vansickle, PHD, LP
NPI 1992852602ActiveIndividual· Psychologist· Granite Falls, MN
Psychologist (PHD, LP) with Avera Granite Falls, practicing in Granite Falls, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist. Lists Avera Granite Falls as a hospital affiliation.
Overview
| NPI | 1992852602 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LP |
| Sole proprietor | No |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | Jan 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP3973 | MN |
| Counselor, Mental Health | 101YM0800X | 10537 | NC |
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) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Avera Granite FallsGranite Falls, MN · 16 clinicians
Hospital affiliation
- Avera Granite FallsGranite Falls, MN
Other Psychologist providers in Granite Falls
- 1407946700