DR. AUDREY MAE FREDERICKSON (PSY D) – Clinical Psychologist, NPI 1689681298

DR. AUDREY MAE FREDERICKSON (PSY D) is a healthcare provider. based in Mound, Minnesota. specializing in Clinical Psychologist. They hold the professional credentials PSY D. They hold a License No. 4856 (MN). The NPI Number for DR. AUDREY MAE FREDERICKSON (PSY D) is 1689681298

Main info

Female
Sole Proprietor
Name
DR. AUDREY MAE FREDERICKSON (PSY D)
NPI
1689681298
Phone
(952) 472-2408
Address
5200 MAYWOOD RD
Enumeration Date
3 August 2006
Last Update Date
13 November 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. AUDREY MAE FREDERICKSON (PSY D)

  • 5200, Maywood Road, Mound, Hennepin County, Minnesota, 55364, United States

    SUITE 202

    MOUND, MN 553641775

    Phone: (952) 472-2408

    Fax: (952) 495-1409

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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

Medicare Utilization (FFS)

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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 55364)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. AUDREY MAE FREDERICKSON (PSY D)?
NPI 1689681298 is assigned to DR. AUDREY MAE FREDERICKSON (PSY D) under the national enumeration system.
Is DR. AUDREY MAE FREDERICKSON (PSY D)'s NPI currently valid?
The extract we use shows DR. AUDREY MAE FREDERICKSON (PSY D) as active.
Does DR. AUDREY MAE FREDERICKSON (PSY D) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. AUDREY MAE FREDERICKSON (PSY D). Clinical services aligned with this taxonomy classification.
Where does public data place DR. AUDREY MAE FREDERICKSON (PSY D)?
The snapshot lists Mound, Minnesota for DR. AUDREY MAE FREDERICKSON (PSY D); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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