MELISSA ANDERSON PSYCHOLOGICAL SERVICES, PLLC
NPI 1306224365
Psychologist - Clinical in Moose Lake, MN

Active since May 11, 2015
316 ELM AVE, MOOSE LAKE, MN 55767(218) 485-4445(218) 485-0477 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Anderson Psychological Services, Pllc NPPES

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

MELISSA ANDERSON PSYCHOLOGICAL SERVICES, PLLC (NPI 1306224365) is a healthcare organization registered as a clinical in Moose Lake, Minnesota and active in the NPI registry since May 2015. The organization lists Melissa Jean Anderson, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1306224365
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMELISSA ANDERSON PSYCHOLOGICAL SERVICES, PLLC
Location Address316 ELM AVEMoose Lake, MN 55767-7706
Mailing Address316 Elm Ave, Po Box 243Moose Lake, MN 55767-7706 · (218) 485-4445 · Fax (218) 485-0477
Fax(218) 485-0477
Organization SubpartNo
Authorized OfficialMelissa Jean AndersonPsychologist/owner · (218) 485-4445
Enumeration DateMay 11, 2015
✔ NPI 1306224365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · 5864
Definition
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 1494 (MN)
316 ELM AVE, Moose Lake, MN 55767

Other Identifiers 1

Medicaid094906000MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Anderson Psychological Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Melissa Anderson Psychological Services, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1548226251
316 ELM AVE
Moose Lake, MN 55767
(218) 485-4445
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1033395751
316 ELM AVE # 243
Moose Lake, MN 55767
(218) 727-5400
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Melissa Anderson Psychological Services, PLLC's NPI number?

The NPI number for Melissa Anderson Psychological Services, PLLC is 1306224365. It was assigned to this organization in the NPPES registry on May 11, 2015.

Where is Melissa Anderson Psychological Services, PLLC located?

Melissa Anderson Psychological Services, PLLC is located at 316 Elm Ave, Moose Lake, MN 55767. The listed phone number is (218) 485-4445.

What is Melissa Anderson Psychological Services, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Melissa Anderson Psychological Services, PLLC enrolled in Medicare?

Yes. Melissa Anderson Psychological Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melissa Anderson Psychological Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Melissa Anderson Psychological Services, PLLC, in Clinical Psychologist and Clinical Social Worker. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Melissa Anderson Psychological Services, PLLC accept?

Health plans from Sanford Health Plan list Melissa Anderson Psychological Services, PLLC 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 Melissa Anderson Psychological Services, PLLC was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.