AURORA PSYCHOLOGICAL SERVICES
NPI 1649378019
Psychologist - Clinical in Eagan, MN

Active since September 20, 2006
4660 SLATER RD, SUITE 210, EAGAN, MN 55122(651) 882-6299(651) 882-6299 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aurora Psychological Services NPPES

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

AURORA PSYCHOLOGICAL SERVICES (NPI 1649378019) is a healthcare organization registered as a clinical in Eagan, Minnesota and active in the NPI registry since September 2006. The organization lists Annie Elizabeth Emanuel, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1649378019
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameAURORA PSYCHOLOGICAL SERVICES LLC
Location Address4660 SLATER RD, SUITE 210Eagan, MN 55122-4047
Mailing Address4660 Slater Rd, Suite 210Eagan, MN 55122-4047 · (651) 882-6299 · Fax (651) 683-0057
Fax(651) 882-6299
Organization SubpartNo
Authorized OfficialAnnie Elizabeth EmanuelLicensed Psychologist · (651) 274-1203
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1649378019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP4645
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.
4660 SLATER RD, Eagan, MN 55122

Other Names 2

Doing Business AsAurora Psychological Services
Former Legal Business NameRoger Olsen Psy Lp Llc

Other Identifiers 4

Other83G50OLMN · Blue Cross Blue Shield
Medicaid084673200MN
Other138155MN · Ucare
OtherHP58813MN · Health Partners

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 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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Aurora Psychological Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Psychologist
NPI 1205274990
4660 SLATER RD SUITE 210
Eagan, MN 55122
(651) 882-6299
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1770910689
4660 SLATER RD STE 210
Eagan, MN 55122
(815) 218-5330
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1992345037
100 W 46TH ST # 2A
Minneapolis, MN 55419
(612) 547-8361
✔ PECOS✔ Accepts Medicare9.6 mi
Clinical Social Worker
NPI 1851933881
213 N ANKENY BLVD STE 100
Ankeny, IA 50023
(515) 337-1764
✔ PECOS✔ Accepts Medicare212 mi

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 Aurora Psychological Services LLC's NPI number?

The NPI number for Aurora Psychological Services LLC is 1649378019. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Aurora Psychological Services. The provider was formerly known as Roger Olsen Psy LP LLC.

Where is Aurora Psychological Services LLC located?

Aurora Psychological Services LLC is located at 4660 Slater Rd Suite 210, Eagan, MN 55122. The listed phone number is (651) 882-6299.

What is Aurora Psychological Services LLC's specialty?

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

Is Aurora Psychological Services LLC enrolled in Medicare?

Yes. Aurora Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aurora Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Aurora Psychological Services LLC. 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. The largest specialties are Clinical Social Worker (3) and Clinical Psychologist (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Aurora Psychological Services LLC accept?

Health plans from HealthPartners list Aurora Psychological Services LLC 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 Aurora Psychological Services LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.