SOUTHERN MINNESOTA PSYCHOLOGICAL SERVICES, PLLC
NPI 1720635519
Psychologist - Clinical in Austin, MN

Q: What is Southern Minnesota Psychological Services, PLLC's specialty?

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

Active since August 26, 2019

329 N MAIN ST STE 104L, AUSTIN, MN 55912(507) 434-1092 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2023, Dec 20, 2019, Oct 22, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Southern Minnesota Psychological Services, Pllc NPPES

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

SOUTHERN MINNESOTA PSYCHOLOGICAL SERVICES, PLLC (NPI 1720635519) is a healthcare organization registered as a clinical in Austin, Minnesota and active in the NPI registry since August 2019. The organization lists Timothy Patrick Lang, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1720635519

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSOUTHERN MINNESOTA PSYCHOLOGICAL SERVICES, PLLC

Location Address329 N MAIN ST STE 104LAustin, MN 55912-3478

Mailing Address2701 9th Ave SwAustin, MN 55912-5406 · (507) 438-3062

Phone(507) 434-1092

Organization SubpartNo

Authorized OfficialTimothy Patrick LangClinical Psychologist · (507) 434-1092

Enumeration DateAugust 26, 2019

Last NPPES UpdateJuly 19, 20234 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1720635519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

329 N MAIN ST STE 104L, Austin, MN 55912

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Minnesota Psychological Services, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Lang, PSY.D.,LP

Clinical Psychologist

NPI 1205813037

329 N MAIN ST STE 104L
Austin, MN 55912

(507) 438-3062

✔ 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 Southern Minnesota Psychological Services, PLLC's NPI number?

The NPI number for Southern Minnesota Psychological Services, PLLC is 1720635519. It was assigned to this organization in the NPPES registry on August 26, 2019.

Where is Southern Minnesota Psychological Services, PLLC located?

Southern Minnesota Psychological Services, PLLC is located at 329 N Main St Ste 104L, Austin, MN 55912. The listed phone number is (507) 434-1092.

What is Southern Minnesota Psychological Services, PLLC's specialty?

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

Is Southern Minnesota Psychological Services, PLLC enrolled in Medicare?

Yes. Southern Minnesota Psychological Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Minnesota Psychological Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Southern Minnesota Psychological Services, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Minnesota Psychological Services, PLLC accept?

Health plans from HealthPartners list Southern Minnesota 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 Southern Minnesota Psychological Services, PLLC was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.