LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. – Community/Behavioral Health Agency, NPI 1396089660

LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. is a healthcare provider. based in Hermantown, Minnesota. specializing in Community/Behavioral Health Agency. The organization holds a License No. LP4532 (MN). The NPI Number for LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. is 1396089660

Main info

Organization
Name
LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC.
NPI
1396089660
Phone
(218) 722-2525
Address
4891 MILLER TRUNK HWY
Authorized Official
DR. JEFFREY LYNN OLSON CLINICAL PSYCHOLOGIST PSY D, LP
Enumeration Date
26 November 2012
Last Update Date
6 February 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC.

  • 4891 MILLER TRUNK HWY

    SUITE 106

    HERMANTOWN, MN 558111512

    Phone: (218) 722-2525

    Fax: (218) 722-1033

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55811)

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Frequently asked questions

Is LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. listed with a National Provider Identifier?
Yes — LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. has NPI 1396089660 on file in the registry.
Is LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. still an active registrant?
LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. carries an active NPI according to the public dataset.
What kind of doctor is LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC.?
LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. is associated with Community/Behavioral Health Agency in the directory — Clinical services aligned with this taxonomy classification.
Is LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. associated with Hermantown?
Public fields place LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. around Hermantown, Minnesota. Always confirm the exact site before visiting.
Does LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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