DONALD HANDLANG (MS, MDIV) – Clinical Psychologist, NPI 1407396567

DONALD HANDLANG (MS, MDIV) is a healthcare provider. based in Woodbury, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials MS, MDIV. They hold a License No. LP7112 (MN). The NPI Number for DONALD HANDLANG (MS, MDIV) is 1407396567

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DONALD HANDLANG (MS, MDIV)
NPI
1407396567
Phone
(651) 714-9646
Address
1811 WEIR DR
Enumeration Date
7 March 2017
Last Update Date
24 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9522148959
Graduation Year
2021 (5 years ago)
PAC ID
4880127489
Group Practice PAC ID
6406752492
Professional Enrollment ID
I20241104000819
Address ID
MN550449821LA17685PATH301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for DONALD HANDLANG (MS, MDIV)

  • 1811, Weir Drive, Woodbury, Washington County, Minnesota, 55125, United States

    SUITE 270

    WOODBURY, MN 551252272

    Phone: (651) 714-9646

    Fax: (651) 714-9647

    Type: Mailing

  • 1811 Weir Dr

    Suite 270

    Woodbury, MN 551252272

    Phone: (651) 714-9646

    Fax: (651) 714-9647

    Type: Location

  • 17685 JUNIPER PATH STE 303

    LAKEVILLE, MN 550449821

    Phone: (952) 214-8959

    Type: Location

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: 2024-11-04

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
I20241104000819IClinical 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 55125)

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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: 6406752492View full group profile
NameSpecialtyState
-GA
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
-MN

Reviews

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Frequently asked questions

What unique ID ties claims to DONALD HANDLANG (MS, MDIV)?
NPI 1407396567 is assigned to DONALD HANDLANG (MS, MDIV) under the national enumeration system.
Is DONALD HANDLANG (MS, MDIV)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DONALD HANDLANG (MS, MDIV)'s specialty in plain language?
Clinically, the directory lists DONALD HANDLANG (MS, MDIV) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does DONALD HANDLANG (MS, MDIV) practice in Minnesota?
You will see Woodbury, Minnesota on file for DONALD HANDLANG (MS, MDIV) alongside any extra practice locations.
How can I contact DONALD HANDLANG (MS, MDIV)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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