Southern Minnesota Psychological Services, Pllc - Medicare Mental Health Clinic in Austin, MN

Southern Minnesota Psychological Services, Pllc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Austin, Minnesota. The current practice location for Southern Minnesota Psychological Services, Pllc is 329 N Main St Ste 104l, Austin, Minnesota. For appointments, you can reach them via phone at (507) 434-1092. The mailing address for Southern Minnesota Psychological Services, Pllc is 2701 9th Ave Sw, Austin, Minnesota and phone number is (507) 438-3062.

Southern Minnesota Psychological Services, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1720635519. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (507) 434-1092.

Contact Information

Southern Minnesota Psychological Services, Pllc
329 N Main St Ste 104l
Austin
MN 55912-3478
(507) 434-1092
Not Available

Mental Health Clinic Profile

Full NameSouthern Minnesota Psychological Services, Pllc
SpecialityPsychologist
Location329 N Main St Ste 104l, Austin, Minnesota
Authorized Official Name and PositionTimothy Patrick Lang (CLINICAL PSYCHOLOGIST)
Authorized Official Contact5074341092
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Minnesota Psychological Services, Pllc
2701 9th Ave Sw
Austin
MN 55912-5406

Ph: (507) 438-3062
Southern Minnesota Psychological Services, Pllc
329 N Main St Ste 104l
Austin
MN 55912-3478

Ph: (507) 434-1092

NPI Details:

NPI Number1720635519
Provider Enumeration Date08/26/2019
Last Update Date07/19/2023
Certification Date07/19/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4284964727
Medicare Enrollment IDO20190925002450

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Medical Identifiers

Medical identifiers for Southern Minnesota Psychological Services, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720635519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Minnesota Psychological Services, Pllc acts as a billing entity for following providers:
Provider NameTimothy P Lang
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1205813037
PECOS PAC ID: 4981732120
Enrollment ID: I20100510000586

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Provider NameDaryl Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871018192
PECOS PAC ID: 5092088872
Enrollment ID: I20170829004206

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› Verified 5 days ago

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› Verified 5 days ago

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