Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakes Psychological Practice, LLC

Organization Psychologist · NPI 1194232264

Lakes Psychological Practice, LLC is a Psychologist in Shakopee, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Fuller St S
Shakopee, MN 55379-1348
Phone: (612) 568-1475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP5667 (MN)

Record details

NPI number1194232264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anisa Mohammed — Psychologist · (612) 568-1475
NPI enumeratedJanuary 10, 2018
Last updated in NPPESJanuary 10, 2018
Mailing address3248 Stevens Ave, Minneapolis, MN 55408-3214

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