ADVANCED PSYCHOLOGICAL SERVICES LLC NPI 1053066902

NPI Information

  • NPI: 1053066902
  • Provider Name: ADVANCED PSYCHOLOGICAL SERVICES, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: ADVANCED PSYCHOLOGICAL SERVICES, LLC
  • Address: 304 BELLE AVE
    MANKATO, MN
    ZIP 56001
  • Phone: (877) 909-5511

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NPI Details

ADVANCED PSYCHOLOGICAL SERVICES, LLC is a mental health (including community mental health center) clinic center in Mankato, MN. ADVANCED PSYCHOLOGICAL SERVICES, LLC NPI is 1053066902. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Psychological Services, Llc.

The provider's business location address is:

304 BELLE AVE
MANKATO, MN
ZIP 56001-250
Phone: (877) 909-5511
Fax: (507) 888-0001

The provider's authorized official is Kesha Fettig .
The authorized official title is Clinic Coordinator and has the following contact phone number (507) 735-6449.

The enumeration date for this NPI number is 2/18/2022 and was last updated on 4/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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