PROCESSUS P.A. – Clinical Psychologist, NPI 1740293109

PROCESSUS P.A. is a healthcare provider. based in Waite park, Minnesota. specializing in Clinical Psychologist. The organization holds a License No. 804348 (MN). The NPI Number for PROCESSUS P.A. is 1740293109

Main info

Organization
Name
PROCESSUS P.A.
NPI
1740293109
Phone
(320) 252-2976
Address
110 2ND ST S
Authorized Official
TANYA C LEITHER BUSINESS ADMINISTRATOR BS
Enumeration Date
15 August 2006
Last Update Date
2 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PROCESSUS P.A.

  • 110, 2nd Street South, Waite Park, Stearns County, Minnesota, 56387, United States

    SUITE 301

    WAITE PARK, MN 563871314

    Phone: (320) 252-2976

    Fax: (320) 656-1570

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050315000535OClinic/Group PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 56387)

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Reviews

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Frequently asked questions

Is PROCESSUS P.A. listed with a National Provider Identifier?
Yes — PROCESSUS P.A. has NPI 1740293109 on file in the registry.
Active or inactive — what applies to PROCESSUS P.A.?
You should see PROCESSUS P.A. as active in CMS-hosted NPPES data.
What kind of doctor is PROCESSUS P.A.?
PROCESSUS P.A. is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with PROCESSUS P.A.?
Directory geography for PROCESSUS P.A. centers on Waite Park, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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