JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) – Clinical Psychologist, NPI 1962691501

Clinical Psychologist

JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) is a healthcare provider. based in Northfield, Minnesota. specializing in Clinical Psychologist. They hold the professional credentials PSYCHOLOGIST. They hold a License No. 3079 (MN). The NPI Number for JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) is 1962691501

Main info

Female

Sole Proprietor

Name

JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST)

NPI

1962691501

Phone

(507) 321-2002

Address

801 HIGHWAY 3 N

Enumeration Date

19 October 2007

Last Update Date

23 February 2022

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience60

Completeness75

Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST)

801 HIGHWAY 3 N
SUITE 101
NORTHFIELD, MN 550579401
Phone: (507) 321-2002
Type: Location
209 SPRING ST N
NORTHFIELD, MN 550571432
Phone: (507) 645-4687
Type: Location
209, Spring Street North, Northfield, Rice County, Minnesota, 55057, United States
NORTHFIELD, MN 550571432
Phone: (507) 645-4687
Type: Mailing

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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Insurance plans in this area (ZIP 55057)

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Frequently asked questions

Can I cross-check JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) using NPI 1962691501?

NPI 1962691501 belongs to JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST); compare other details if you need extra assurance.

Would JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) appear as active to a payer?

You can treat JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) as active for directory purposes; confirm clinical privileges separately.

How would a patient describe JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST)'s focus?

For JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.

Where in Minnesota is JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) registered?

Use Northfield, Minnesota as the headline location for JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) here.

When was this NPI issued?

Enumeration for JERILYN MARIE WIEDERHOLT (PSYCHOLOGIST) is noted as October 19, 2007 where the registry provides it.