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Lakes Psychological Practice, LLC

Psychologist in Shakopee, MN · enumerated 2018 · authorized official Anisa Mohammed, Psychologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194232264

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Registry record

Entity type Organization (Type 2)
Legal business name Lakes Psychological Practice, LLC
Practice address 100 Fuller St S, Shakopee, MN, 55379
Phone (612) 568-1475
Enumeration date Jan 10, 2018
Last updated in NPPES Jan 10, 2018

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers · License LP5667 (MN) Primary

Authorized official

Name Anisa Mohammed
Title Psychologist
Phone (612) 568-1475

Other identifiers

Identifier Type State Issuer
1215364625 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lakes Psychological Practice, LLC?
The NPI for Lakes Psychological Practice, LLC is 1194232264, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lakes Psychological Practice, LLC?
NPPES lists Anisa Mohammed (Psychologist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-10.