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DR. THYRA ANNE FOSSUM PH.D.
NPI 1902133440
Psychologist - Clinical in Saint Paul, MN

Active since November 04, 2009
1595 SELBY AVE, SUITE 109, SAINT PAUL, MN 55104(612) 229-8198 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thyra Anne Fossum Ph.d. NPPES

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

DR. THYRA ANNE FOSSUM PH.D. (NPI 1902133440) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (LP4703) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1902133440
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THYRA ANNE FOSSUMCredential: PH.D.
Location Address1595 SELBY AVE, SUITE 109Saint Paul, MN 55104-6221
Mailing Address1595 Snelling Avenue, Suite 109Saint Paul, MN 55104 · (612) 229-8198
Phone(612) 229-8198
Sole ProprietorYes
Enumeration DateNovember 4, 2009
Last NPPES UpdateJune 30, 2015
✔ NPI 1902133440 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 · LP4703
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.
1595 SELBY AVE, Saint Paul, MN 55104
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA JOHNSON, PHD, LP, LLC
Psychologist (Clinical)
1595 SELBY AVE, SUITE 202
SAINT PAUL, MN 55104
Ramsey County (651) 644-4930
AMY PERRY MA
Counselor (Professional)
1595 SELBY AVE
SAINT PAUL, MN 55104
Ramsey County (612) 226-8993
DR. PETER DELANDER FREEMAN ED.D., LICSW
Social Worker (Clinical)
1595 SELBY AVE, SUITE 200
SAINT PAUL, MN 55104
Ramsey County (651) 414-0806
RODGERS PSYCHOLOGICAL SERVICES, INC
Psychologist (Clinical)
1595 SELBY AVE, SUITE 210
SAINT PAUL, MN 55104
Ramsey County (651) 644-4611
FRANCES OSTEEN STAWARZ, PHD, LP, LLC
Psychologist (Clinical)
1595 SELBY AVE, SUITE 202
SAINT PAUL, MN 55104
Ramsey County (651) 644-4930
BEVERLY JEAN LONG
Psychologist
1595 SELBY AVE, SUITE 202
SAINT PAUL, MN 55104
Ramsey County (651) 253-8438
MICHAEL J MILLER CONSULTING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1595 SELBY AVE, SUITE 210
SAINT PAUL, MN 55104
Ramsey County (651) 428-8346
TAZELAAR PSYCHOTHERAPY SERVICES LLC
Social Worker (Clinical)
1595 SELBY AVE
SAINT PAUL, MN 55104
Ramsey County (651) 699-6480

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 Thyra Fossum's NPI number?

The NPI number for Thyra Fossum is 1902133440. It was assigned to this individual provider in the NPPES registry on November 4, 2009.

Where is Thyra Fossum located?

Thyra Fossum practices at 1595 Selby Ave Suite 109, Saint Paul, MN 55104. The listed phone number is (612) 229-8198.

What is Thyra Fossum'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 Thyra Fossum was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.