LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC.
NPI 1396089660
Community/Behavioral Health in Hermantown, MN

NPI Status: Active since November 26, 2012

Contact Information

4891 MILLER TRUNK HWY
SUITE 106
HERMANTOWN, MN
ZIP 55811
Phone: (218) 722-2525
Fax: (218) 722-1033

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  • Organization
  • Community/Behavioral Health

About LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Lake Superior Psychological Services, Inc., a provider established in Hermantown, Minnesota operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1396089660 assigned on November 2012. The practitioner's primary taxonomy code is 251S00000X with license number LP4532 (MN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Jeffrey Lynn Olson Psy D, Lp (Clinical Psychologist)

NPI
1396089660
Provider Name
LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC.
Entity Type
Organization
Location Address
4891 MILLER TRUNK HWY SUITE 106 HERMANTOWN, MN 55811
Location Phone
(218) 722-2525
Location Fax
(218) 722-1033
Mailing Address
4891 MILLER TRUNK HWY SUITE 106 HERMANTOWN, MN 55811
Mailing Phone
(218) 722-2525
Mailing Fax
(218) 722-1033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2012
Last Update Date
02-06-2013
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
LP4532
License State
MN
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEFFREY LYNN OLSON PSY D, LP

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(218) 722-2525

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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 1396089660, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 0 + 8 + 1 + 8 + 6 + 1 + 2 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1396089660.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
4891 MILLER TRUNK HWY, SUITE 1
DULUTH, MN 55811
Psychologist (Clinical)
4891 MILLER TRUNK HWY, SUITE 106
HERMANTOWN, MN 55811
Nurse Practitioner
4891 MILLER TRUNK HWY
HERMANTOWN, MN 55811
Nurse Practitioner (Psychiatric/Mental Health)
4891 MILLER TRUNK HWY
HERMANTOWN, MN 55811

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396089660, enumerated as an "organization" on November 26, 2012.

The provider is located at 4891 MILLER TRUNK HWY SUITE 106 HERMANTOWN, MN 55811 and the phone number is (218) 722-2525.

Community/Behavioral Health with taxonomy code 251S00000X.