MR. CHARLES HOWARD JORENBY MA, LP
NPI 1013999671
Psychologist in Prior Lake, MN

Active since November 17, 2005
6885 BOUDIN ST NE STE 200, PRIOR LAKE, MN 55372(952) 226-2641(952) 226-2741 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Howard Jorenby Ma, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES HOWARD JORENBY MA, LP (NPI 1013999671) is an individual psychologist in Prior Lake, Minnesota, licensed in Minnesota (LP3631) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1013999671
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. CHARLES HOWARD JORENBYCredential: MA, LP
Location Address6885 BOUDIN ST NE STE 200Prior Lake, MN 55372-2091
Mailing Address6885 Boudin St Ne Ste 200Prior Lake, MN 55372-2091 · (952) 226-2641 · Fax (952) 226-2741
Fax(952) 226-2741
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 23, 2019
NPI 1013999671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3631
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6885 BOUDIN ST NE STE 200, Prior Lake, MN 55372

Other Identifiers 7

OtherLP3631MN · Minnesota Board Of Psychology License Number
Other792566000Magellan Id Number
Other437R7LIBcbs Group Number
Other62-39496Ubh Id Number
Other2128297Cigna Id Number
Other437R8JOBcbs Individual Id Number
Medicaid509108000MN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6885 BOUDIN ST NE STE 200
PRIOR LAKE, MN 55372
Chiropractor
6885 BOUDIN ST NE STE 200
PRIOR LAKE, MN 55372
Chiropractor
6885 BOUDIN ST NE STE 200
PRIOR LAKE, MN 55372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Jorenby's NPI number?

The NPI number for Charles Jorenby is 1013999671. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Charles Jorenby located?

Charles Jorenby practices at 6885 Boudin St NE Ste 200, Prior Lake, MN 55372. The listed phone number is (952) 226-2641.

What is Charles Jorenby's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Charles Jorenby was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.