JENNA WIEDEN PHD
NPI 1790191252
Psychologist - Clinical in Stillwater, MN

NPI Status: Active since July 05, 2014

Contact Information

333 MAIN ST N STE 110
STILLWATER, MN
ZIP 55082
Phone: (651) 425-9297

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  • Individual
  • Female
  • Psychologist
  • Clinical

About JENNA WIEDEN

This page provides the complete NPI Profile along with additional information for Jenna Wieden, a provider established in Stillwater, Minnesota with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1790191252 assigned on July 2014. The practitioner's primary taxonomy code is 103TC0700X with license number LP6503 (MN). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1790191252
Provider Name
JENNA WIEDEN PHD
Gender
Female
Entity Type
Individual
Location Address
333 MAIN ST N STE 110 STILLWATER, MN 55082
Location Phone
(651) 425-9297
Mailing Address
8955 JANE RD N LAKE ELMO, MN 55042
Mailing Phone
(651) 428-5454
Is Sole Proprietor?
No
Enumeration Date
07-05-2014
Last Update Date
04-29-2020
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A clinical psychologist like Jenna Wieden assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

  • 1440 Broadway Suite #610
    Oakland, CA 94612
    (651) 428-5454

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
LP6503
License State
MN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TS0200XBehavioral Health & Social Service Providers

Psychologist
School

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790191252
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180292210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 2 + 9 + 2 + 2 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1790191252 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922375757DR. HARMONY ANN CARLSON PSY.D., LP
Individual
Psychologist (Clinical)333 MAIN ST N STE 110
STILLWATER, MN 55082
(651) 425-9297

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790191252, enumerated in the NPI registry as an "individual" on July 05, 2014

The provider is located at 333 Main St N Ste 110 Stillwater, Mn 55082 and the phone number is (651) 425-9297

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on July 05, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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