RENEE T VONWEISS (PHD LP) – Clinical Psychologist, NPI 1265427629

RENEE T VONWEISS (PHD LP) is a healthcare provider. based in St louis park, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD LP. They hold a License No. LP4485 (MN). The NPI Number for RENEE T VONWEISS (PHD LP) is 1265427629

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
RENEE T VONWEISS (PHD LP)
NPI
1265427629
Phone
(952) 444-9744
Address
4500 PARK GLEN RD
Enumeration Date
13 September 2005
Last Update Date
25 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128863706
Graduation Year
2002 (24 years ago)
PAC ID
8426486754
Group Practice PAC ID
1951675321
Professional Enrollment ID
I20200319000600
Address ID
MN554232691RI6625XSXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for RENEE T VONWEISS (PHD LP)

  • Park Glen, 4500, Park Glen Road, Wolfe Park, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    SUITE 450

    ST LOUIS PARK, MN 554164871

    Phone: (952) 444-9744

    Fax: (952) 444-9745

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200319000600IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951675321View full group profile
NameSpecialtyState
-MN
Occupational Therapist In Private PracticeMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

Is RENEE T VONWEISS (PHD LP) listed with a National Provider Identifier?
Yes — RENEE T VONWEISS (PHD LP) has NPI 1265427629 on file in the registry.
Is RENEE T VONWEISS (PHD LP) still an active registrant?
RENEE T VONWEISS (PHD LP) carries an active NPI according to the public dataset.
What expertise is attributed to RENEE T VONWEISS (PHD LP)?
RENEE T VONWEISS (PHD LP)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is RENEE T VONWEISS (PHD LP) associated with St Louis Park?
Public fields place RENEE T VONWEISS (PHD LP) around St Louis Park, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for RENEE T VONWEISS (PHD LP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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