NPPES file of Aug 9, 2026

Lisa Marie Anderson, PHD

Clinical Psychologist · St Louis Park, MN

Lisa Marie Anderson, PHD is a clinical psychologist with a practice address in St Louis Park, Minnesota, and NPI 1114504123, issued on Mar 25, 2021. Check the license (Minnesota LP6534, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114504123
Name
Lisa Marie Anderson
Credential
PHD
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
LP6534 MN
Self-reported in NPPES; status is on the state search
Practice location
5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416
Phone
(952) 525-4500
Enumerated
Mar 25, 2021
Record last updated
Mar 25, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20210504000173); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5775 Wayzata Blvd Ste 255

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jeffrey Bishop, PHARMD, BCPPPsychiatric Pharmacist1225350333
  2. Laura Linner, A.M., LICSWClinical Social Worker1437695624
  3. Melissa Polski, MSW, LICSWClinical Social Worker1851106207
  4. Christa Reader, LICSWClinical Social Worker1740771112

Verify Lisa Marie Anderson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license LP6534
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. University OF Minnesota PhysiciansMinneapolis, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Lisa Marie Anderson among 1,538 clinical psychologist records in Minnesota

Lisa Marie Anderson, PHD is one of 1,538 clinical psychologist records with a practice address in Minnesota. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 91% of them.

  • NPI issued2021 · 91% of these records are older, 7% newer
  • In a Medicare fileYes · 26% of these records are
  • In the CMS Doctors and Clinicians fileYes · 33% of these records are
  • Graduated2017 · median 2008 among the 510 with a school on file
  • Record last updated2021 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

62 clinical psychologist records list a practice address in St Louis Park

They are 62 of the 3,089 NPPES records with a practice address in St Louis Park, and 1,538 clinical psychologist records in Minnesota.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Rachel Allyn, PH.D.St Louis Park, MN 554161013970250
  2. Thomas Bennett, PSYD, LPSt Louis Park, MN 554161306823794
  3. Arthur Decker, MA LPSaint Louis Park, MN 554161194792002
  4. Cheryl Goldenberg, PSYD, LPSaint Louis Park, MN 554161598865354
  5. Jill Gray, PSYD, LPSt Louis Park, MN 554161124124045
  6. Catherine Johnson, PSYDMinneapolis, MN 554161457381055
  7. Kristin Kunzman, PSY.D.St Louis Park, MN 554161013992676
  8. Diane Kuznia, M.A., L.P.St Louis Park, MN 554161265417828

Common questions

What is Lisa Marie Anderson, PHD's NPI number?

Lisa Marie Anderson, PHD's National Provider Identifier (NPI) is 1114504123, issued on Mar 25, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Lisa Marie Anderson, PHD located?

The NPPES record lists a practice address at 5775 Wayzata Blvd Ste 255, St Louis Park, MN, 55416. Phone: (952) 525-4500. Providers update this record themselves, so call before visiting.

How can I verify Lisa Marie Anderson, PHD's license?

NPPES lists Minnesota license number LP6534, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.