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NPISignal

Individual Healthcare Provider

Amy Carrison, LP, LADC

NPI Record: ActivePsychologist
NPI1750700027
Mendota Heights, Minnesota

Provider's NPPES record last updated: April 13, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1750700027
Primary Specialty
Psychologist
Practice Location
Mendota Heights, Minnesota
Sole Proprietor
Yes

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 19, 2026, 9:04 PM 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

  • Psychologist

    Behavioral Health & Social Service Providers

    Primary

    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

    Taxonomy code 103T00000X
  • Counselor

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YA0400X

Provider-Reported License Information

Psychologist (Minnesota)
6587
Counselor (Minnesota)
301529
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

1155 Northland Dr

Mendota Heights, Minnesota 55120-1288

Phone: (612) 223-9989

Additional Practice Location

2380 Wycliff St

Saint Paul, Minnesota 55114-1279

Phone: (651) 647-1083

Additional Practice Location

1435 White Oak Dr Ste 200

Chaska, Minnesota 55318-2567

Phone: (952) 443-4600

Fax: (952) 443-4604

Additional Practice Location

15265 Carrousel Way Ste 100

Rosemount, Minnesota 55068-1760

Phone: (952) 443-4600

Fax: (952) 443-4604

Record Information

Enumeration Date
April 15, 2014
Provider's NPPES Record Last Updated
April 13, 2023
Certification Date
April 13, 2023
NPISignal NPPES Dataset
August 2026

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