Melissa Anderson Polusny, PHD is a
Psychologist - Clinical based in Minnetrista, Minnesota. Melissa Anderson Polusny is licensed to practice in Minnesota (license number LP4362) and her current practice location is
3490 Lythrum Way, Minnetrista, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(942) 214-2858.
NPI number for Melissa Anderson Polusny is 1669487229 and her current mailing address is 3490 Lythrum Way, Minnetrista, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669487229.
Healthcare Provider's Profile
| Full Name | Melissa Anderson Polusny |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 3490 Lythrum Way, Minnetrista, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669487229
- Provider Enumeration Date: 07/30/2006
- Last Update Date: 01/12/2026
Medical Identifiers
Medical identifiers for Melissa Anderson Polusny such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669487229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | LP4362 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Anderson Polusny is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Melissa Anderson Polusny, PHD 3490 Lythrum Way, Minnetrista, MN 55364-9438 Ph: (952) 214-2858 | Melissa Anderson Polusny, PHD 3490 Lythrum Way, Minnetrista, MN 55364-9438 Ph: (942) 214-2858 |
Reviews and Comments