DR. MALLORY OBERMIRE PH.D., LP
NPI 1811446024
Psychologist in Minneapolis, MN

Active since September 28, 2016
1516 W LAKE ST, MINNEAPOLIS, MN 55408(612) 823-3707 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Mallory Obermire Ph.d., Lp NPPES

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

DR. MALLORY OBERMIRE PH.D., LP (NPI 1811446024) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP6002) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1811446024
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MALLORY OBERMIRECredential: PH.D., LP
Location Address1516 W LAKE STMinneapolis, MN 55408-2554
Mailing Address2712 Fremont Ave SMinneapolis, MN 55408-1122
Sole ProprietorYes
Enumeration DateSeptember 28, 2016
NPI 1811446024 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 · LP6002
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.
1516 W LAKE ST, Minneapolis, MN 55408

Other Names 1

Former Name (1)Mallory Glasere

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.

Social Worker (Clinical)
1516 W LAKE ST, SUITE 103
MINNEAPOLIS, MN 55408
Psychologist (Clinical)
1516 W LAKE ST
MINNEAPOLIS, MN 55408
Dentist (General Practice)
1516 W LAKE ST, SUITE 302
MINNEAPOLIS, MN 55408
Psychologist (Clinical)
1516 W LAKE ST, STE 214
MINNEAPOLIS, MN 55408
Psychologist (Group Psychotherapy)
1516 W LAKE ST
MINNEAPOLIS, MN 55408
Marriage & Family Therapist
1516 W LAKE ST, SUITE 103
MINNEAPOLIS, MN 55408
Contractor (Home Modifications)
1516 W LAKE ST
MINNEAPOLIS, MN 55408
Dentist (General Practice)
1516 W LAKE ST, SUITE 302
MINNEAPOLIS, MN 55408

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 Mallory Obermire's NPI number?

The NPI number for Mallory Obermire is 1811446024. It was assigned to this individual provider in the NPPES registry on September 28, 2016. The provider is also known as Mallory Glasere.

Where is Mallory Obermire located?

Mallory Obermire practices at 1516 W Lake St, Minneapolis, MN 55408. The listed phone number is (612) 823-3707.

What is Mallory Obermire's specialty?

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

When was this NPI record last updated?

The NPPES record for Mallory Obermire was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.