Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARY VANDERLOOP
NPI 1083690606
Psychologist in St Louis Park, MN

Active since December 15, 2005PECOS Enrolled
6490 EXCELSIOR BLVD, # E315, ST LOUIS PARK, MN 55426(952) 993-6200 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Vanderloop NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY VANDERLOOP (NPI 1083690606) is an individual psychologist in St Louis Park, Minnesota, licensed in Minnesota (LP3936) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1083690606
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY VANDERLOOP
Location Address6490 EXCELSIOR BLVD, # E315St Louis Park, MN 55426-4705
Mailing Address6465 Wayzata Blvd, Suite 315Minneapolis, MN 55426-1728
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 15, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1083690606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3936
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

6490 EXCELSIOR BLVD, St Louis Park, MN 55426

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Vanderloop is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173060746
PECOS Enrollment IDI20240731002418
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
6490 EXCELSIOR BLVD, SUITE W300
ST LOUIS PARK, MN 55426
Physician Assistant
6490 EXCELSIOR BLVD, STE E400
ST LOUIS PARK, MN 55426
Physician Assistant
6490 EXCELSIOR BLVD, STE W200
ST LOUIS PARK, MN 55426
Specialist/Technologist, Other (Surgical Technologist)
6490 EXCELSIOR BLVD, SUITE E400
ST LOUIS PARK, MN 55426
Psychiatry & Neurology (Neurology)
6490 EXCELSIOR BLVD, STE E500
ST LOUIS PARK, MN 55426
Pharmacist
6490 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Occupational Therapist
6490 EXCELSIOR BLVD, SUITE E400 REHAB SERVICES
ST LOUIS PARK, MN 55426
Dietitian, Registered
6490 EXCELSIOR BLVD, STE W505
ST LOUIS PARK, MN 55426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Vanderloop's NPI number?

The NPI number for Mary Vanderloop is 1083690606. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Mary Vanderloop located?

Mary Vanderloop practices at 6490 Excelsior Blvd # E315, St Louis Park, MN 55426. The listed phone number is (952) 993-6200.

What is Mary Vanderloop's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mary Vanderloop enrolled in Medicare?

Yes. Mary Vanderloop is registered in the Medicare PECOS enrollment system.

What insurance does Mary Vanderloop accept?

Health plans from HealthPartners list Mary Vanderloop as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Vanderloop was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.