MARK O JUSTIC MA LP
NPI 1982700902
Psychologist - Clinical in Eden Prairie, MN

Q: What is Mark Justic's NPI number?

The NPI number for Mark Justic is 1982700902. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Mark Justic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Justic was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 16, 2006

11010 PRAIRIE LAKES DR, SUITE 350, EDEN PRAIRIE, MN 55344(952) 746-2522(952) 746-0887 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark O Justic Ma Lp NPPES

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

MARK O JUSTIC MA LP (NPI 1982700902) is an individual clinical provider in Eden Prairie, Minnesota, licensed in Minnesota (LP0329) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1982700902

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMARK O JUSTICCredential: MA LP

Location Address11010 PRAIRIE LAKES DR, SUITE 350Eden Prairie, MN 55344-3884

Mailing Address1900 Silver Lake Rd Nw, 110New Brighton, MN 55112-1786 · (651) 379-1718 · Fax (651) 379-1738

Phone(952) 746-2522

Fax(952) 746-0887

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateMarch 12, 2014

✔ NPI 1982700902 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 · LP0329

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.

11010 PRAIRIE LAKES DR, Eden Prairie, MN 55344

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Other Identifiers 1

Medicaid818549200MN

Other Providers at the Same Location NPPES 18

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

ERIC W GOAD MD

Psychiatry & Neurology (Psychiatry)

11010 PRAIRIE LAKES DR, SUITE 250
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

MRS. TIFFANY ALYSE HURT P.A.

Physician Assistant

11010 PRAIRIE LAKES DR, SUITE 250
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

AMY HARMS HOAD LADC

Counselor (Addiction (Substance Use Disorder))

11010 PRAIRIE LAKES DR
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

JUSTIN POPE

Counselor (Mental Health)

11010 PRAIRIE LAKES DR, SUITE 350
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

RYAN SWEENEY LADC

Counselor (Addiction (Substance Use Disorder))

11010 PRAIRIE LAKES DR, SUITE 350
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

BHAR BAGUTTI LADC

Counselor (Addiction (Substance Use Disorder))

11010 PRAIRIE LAKES DR, 350
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

MS. MARTHA HERFURTH MARVIN PSY.D, L.P.

Psychologist (Clinical)

11010 PRAIRIE LAKES DR, SUITE 350
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

MRS. AMBER REIS LMFT

Marriage & Family Therapist

11010 PRAIRIE LAKES DR, #350
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

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 Mark Justic's NPI number?

The NPI number for Mark Justic is 1982700902. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Mark Justic located?

Mark Justic practices at 11010 Prairie Lakes Dr Suite 350, Eden Prairie, MN 55344. The listed phone number is (952) 746-2522.

What is Mark Justic'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 Mark Justic was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.