MARY BETH SCANLON PHD, LP
NPI 1366405367
Psychologist in Eagan, MN

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1110 YANKEE DOODLE RD, EAGAN, MN 55121(651) 454-3970(651) 241-0059 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Beth Scanlon Phd, Lp NPPES

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

MARY BETH SCANLON PHD, LP (NPI 1366405367) is an individual psychologist in Eagan, Minnesota, licensed in Minnesota (LP1288) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1366405367
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY BETH SCANLONCredential: PHD, LP
Location Address1110 YANKEE DOODLE RDEagan, MN 55121-2092
Mailing AddressPo Box 43, Mr 10809Minneapolis, MN 55440-0043 · (612) 262-4813 · Fax (612) 262-4194
Fax(651) 241-0059
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 10, 2006
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
NPI 1366405367 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 · LP1288
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.
1110 YANKEE DOODLE RD, Eagan, MN 55121

Other Identifiers 1

Medicaid373053100MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Beth Scanlon Phd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163698663
PECOS Enrollment IDI20120105000175
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
120 services14 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Pediatrics
1110 YANKEE DOODLE RD
EAGAN, MN 55121

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 Scanlon's NPI number?

The NPI number for Mary Scanlon is 1366405367. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Mary Scanlon located?

Mary Scanlon practices at 1110 Yankee Doodle Rd, Eagan, MN 55121. The listed phone number is (651) 454-3970.

What is Mary Scanlon's specialty?

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

Is Mary Scanlon enrolled in Medicare?

Yes. Mary Scanlon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Scanlon was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.