OrganizationActive
Lakes Psychological Practice, LLC
NPI 1194232264 · Psychologist · Shakopee, MN
Lakes Psychological Practice, LLC is a Psychologist organization in Shakopee, MN (NPI 1194232264).
Provider details
- NPI number
- 1194232264
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anisa Mohammed, Psychologist(612) 568-1475
- License
- LP5667 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Fuller St S
Shakopee, MN 55379-1348
Phone: (612) 568-1475
Street-level locationGet directions
Mailing address
3248 Stevens Ave
Minneapolis, MN 55408-3214
Registry dates
- Enumerated
- 2018-01-10
- Last updated
- 2018-01-10
Frequently asked questions
- What is Lakes Psychological Practice, LLC's NPI number?
- Lakes Psychological Practice, LLC's National Provider Identifier (NPI) is 1194232264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakes Psychological Practice, LLC?
- Lakes Psychological Practice, LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Lakes Psychological Practice, LLC located?
- Lakes Psychological Practice, LLC's practice location on file with NPPES is 100 Fuller St S, Shakopee, MN 55379-1348.
- What is Lakes Psychological Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakes Psychological Practice, LLC is (612) 568-1475.
- Who is the authorized official for Lakes Psychological Practice, LLC?
- The authorized official listed on Lakes Psychological Practice, LLC's NPPES record is Anisa Mohammed, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakes Psychological Practice, LLC's NPI active?
- Yes — Lakes Psychological Practice, LLC's NPI (1194232264) is active in the NPPES registry as of the last update on 2018-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.