JENNA WIEDEN (PHD) – Clinical Psychologist, NPI 1790191252

JENNA WIEDEN (PHD) is a healthcare provider. based in Lake elmo, Minnesota. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. LP6503 (MN). The NPI Number for JENNA WIEDEN (PHD) is 1790191252

Main info

Female
Name
JENNA WIEDEN (PHD)
NPI
1790191252
Phone
(651) 428-5454
Address
8955 JANE RD N
Enumeration Date
5 July 2014
Last Update Date
29 April 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JENNA WIEDEN (PHD)

  • 8955 JANE RD N

    LAKE ELMO, MN 550429512

    Phone: (651) 428-5454

    Type: Mailing

  • 1440 Broadway

    Suite #610

    Oakland, CA 946122041

    Phone: (651) 428-5454

    Type: Location

  • 333 MAIN ST N STE 110

    STILLWATER, MN 550825054

    Phone: (651) 425-9297

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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 55042)

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Reviews

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Frequently asked questions

What number should I use to identify JENNA WIEDEN (PHD) for billing?
Administrative and clinical systems typically use NPI 1790191252 for JENNA WIEDEN (PHD).
Does the public listing show JENNA WIEDEN (PHD) as active?
JENNA WIEDEN (PHD)'s NPI record reflects an active status in NPPES.
What type of care does JENNA WIEDEN (PHD) provide?
JENNA WIEDEN (PHD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is JENNA WIEDEN (PHD) tied to Lake Elmo, Minnesota?
If you are local to Lake Elmo, Minnesota, JENNA WIEDEN (PHD) may be relevant to your search.
Who maintains JENNA WIEDEN (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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