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Organization

Nova Bhs

NPI Record: ActivePain Medicine — Interventional Pain Medicine
NPI1598150930
Shoreview, Minnesota

Provider's NPPES record last updated: April 2, 2015

Overview

Entity Type
Organization
NPI
1598150930
Primary Specialty
Pain Medicine — Interventional Pain Medicine
Practice Location
Shoreview, Minnesota
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 10:22 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Interventional Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

    Taxonomy code 208VP0014X
  • Psychologist

    Cognitive & Behavioral

    Behavioral Health & Social Service Providers

    A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

    Taxonomy code 103TB0200X
  • Psychologist

    Clinical

    Behavioral Health & Social Service Providers

    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

    Taxonomy code 103TC0700X
  • Psychologist

    Health Service

    Behavioral Health & Social Service Providers

    A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

    Taxonomy code 103TH0100X
  • Psychologist

    Group Psychotherapy

    Behavioral Health & Social Service Providers

    A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

    Taxonomy code 103TP2701X

Provider-Reported License Information

Pain Medicine (Minnesota)
LP2187
Psychologist (Minnesota)
LP2187
Psychologist (Minnesota)
LP2187
Psychologist (Minnesota)
LP2187
Psychologist (Minnesota)
LP2187
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

521 Tanglewood Dr.

Shoreview, Minnesota 55126

Phone: (612) 306-4721

Other Names

  • Maryanne LassegardReported April 2, 2015

Record Information

Enumeration Date
April 2, 2015
Provider's NPPES Record Last Updated
April 2, 2015
NPISignal NPPES Dataset
August 2026

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