Lake Superior Psychological Services, Inc.
NPI 1396089660 · Community/Behavioral Health Agency · Hermantown, MN
Lake Superior Psychological Services, Inc. is a Community/Behavioral Health Agency organization in Hermantown, MN (NPI 1396089660).
Provider details
- NPI number
- 1396089660
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jeffrey Olson, Clinical Psychologist(218) 722-2525
- License
- LP4532 (MN)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-11-26
- Last updated
- 2013-02-06
Frequently asked questions
- What is Lake Superior Psychological Services, Inc.'s NPI number?
- Lake Superior Psychological Services, Inc.'s National Provider Identifier (NPI) is 1396089660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Superior Psychological Services, Inc.?
- Lake Superior Psychological Services, Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Lake Superior Psychological Services, Inc. located?
- Lake Superior Psychological Services, Inc.'s practice location on file with NPPES is 4891 Miller Trunk Hwy, Hermantown, MN 55811-1512.
- What is Lake Superior Psychological Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Superior Psychological Services, Inc. is (218) 722-2525.
- Who is the authorized official for Lake Superior Psychological Services, Inc.?
- The authorized official listed on Lake Superior Psychological Services, Inc.'s NPPES record is Jeffrey Olson, Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Superior Psychological Services, Inc.'s NPI active?
- Yes — Lake Superior Psychological Services, Inc.'s NPI (1396089660) is active in the NPPES registry as of the last update on 2013-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.