MARY LYNN HENDRICKSON PSY.D., LP
NPI 1164569612
Psychologist - Clinical in Minnetonka, MN
NPI Status: Active since January 31, 2007
Contact Information
11900 WAYZATA BLVD
SUITE 216
MINNETONKA, MN
ZIP 55305
Phone: (952) 546-0700
Fax: (952) 546-0700
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About MARY HENDRICKSON
This page provides the complete NPI Profile along with additional information for Mary Hendrickson, a provider established in Minnetonka, Minnesota with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1164569612 assigned on January 2007. The practitioner's primary taxonomy code is 103TC0700X with license number LP3184 (MN). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1164569612
- Provider Name
- MARY LYNN HENDRICKSON PSY.D., LP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11900 WAYZATA BLVD SUITE 216 MINNETONKA, MN 55305
- Location Phone
- (952) 546-0700
- Location Fax
- (952) 546-0700
- Mailing Address
- 11900 WAYZATA BLVD SUITE 216 MINNETONKA, MN 55305
- Mailing Phone
- (952) 546-0700
- Mailing Fax
- (952) 546-0700
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-31-2007
- Last Update Date
- 07-09-2007
- Code Navigator
A clinical psychologist like Mary Hendrickson assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mary Hendrickson opted out of Medicare effective on 12-23-2024 until 12-23-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LP3184
- License State
- MN
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7H354HE | MEDICARE UPIN (02) | MN |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-23-2024
Opt-Out End Date: 12-23-2026
Eligible to Order and Refer? No
Reviews for MARY LYNN HENDRICKSON PSY.D., LP
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164569612, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
MINNETONKA, MN 55305
MINNETONKA, MN 55305
MINNETONKA, MN 55305
MINNETONKA, MN 55305
MINNETONKA, MN 55305
MINNETONKA, MN 55305
MINNETONKA, MN 55305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164569612, enumerated as an "individual" on January 31, 2007.
The provider is located at 11900 WAYZATA BLVD SUITE 216 MINNETONKA, MN 55305 and the phone number is (952) 546-0700.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
