MR. JAMIE MICHAEL MERSOLA
NPI 1669118360
Psychologist - Clinical in Otsego, MN

Active since May 06, 2022
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330(763) 746-9492 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jamie Michael Mersola NPPES

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

MR. JAMIE MICHAEL MERSOLA (NPI 1669118360) is an individual clinical provider in Otsego, Minnesota, licensed in Minnesota (XXXXXXXXXXXXXXX) and active in the NPI registry since May 2022. He maintains a secondary practice location in Coon Rapids.

NPPES Registry Identity

NPI1669118360
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. JAMIE MICHAEL MERSOLA
Location Address9245 QUANTRELLE AVE NEOtsego, MN 55330-0168
Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786 · (818) 391-0602
Sole ProprietorNo
Enumeration DateMay 6, 2022
NPPES CertifiedApril 2, 2022
NPI 1669118360 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 · XXXXXXXXXXXXXXX
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.
9245 QUANTRELLE AVE NE, Otsego, MN 55330

Secondary Practice Location 1

Location 111660 Round Lake Blvd NWCoon Rapids, MN 55433-2638 · Phone (763) 767-3350

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.

Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Counselor (Mental Health)
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Counselor (Mental Health)
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330

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 Jamie Mersola's NPI number?

The NPI number for Jamie Mersola is 1669118360. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Jamie Mersola located?

Jamie Mersola practices at 9245 Quantrelle Ave NE, Otsego, MN 55330. The listed phone number is (763) 746-9492.

What is Jamie Mersola's specialty?

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

When was this NPI record last updated?

The NPPES record for Jamie Mersola was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.