KEN WADUM, ED.D. LP
NPI 1043561335
Psychologist in Rochester, MN

Active since September 26, 2012
1530 GREENVIEW DR SW, SUITE 207, ROCHESTER, MN 55902(507) 280-0225 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ken Wadum, Ed.d. Lp NPPES

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

KEN WADUM, ED.D. LP (NPI 1043561335) is a healthcare organization registered as a psychologist in Rochester, Minnesota and active in the NPI registry since September 2012. The organization lists Kenneth Charles Wadum, Owner, as its authorized official.

NPPES Registry Identity

NPI1043561335
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKEN WADUM, ED.D. LP
Location Address1530 GREENVIEW DR SW, SUITE 207Rochester, MN 55902-4286
Mailing Address1530 Greenview Dr Sw, Suite 207Rochester, MN 55902-4286 · (507) 280-0225
Organization SubpartYesParent: Ken Wadum, Ed.d., Lp
Authorized OfficialKenneth Charles WadumOwner · (507) 280-0225
Enumeration DateSeptember 26, 2012
NPI 1043561335 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 · LP2777
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.

1530 GREENVIEW DR SW, Rochester, MN 55902

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Naturopath
1530 GREENVIEW DR SW, SUITE 212 A
ROCHESTER, MN 55902
Social Worker (Clinical)
1530 GREENVIEW DR SW, SUITE # 115
ROCHESTER, MN 55902

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 Ken Wadum, Ed.D. LP's NPI number?

The NPI number for Ken Wadum, Ed.D. LP is 1043561335. It was assigned to this organization in the NPPES registry on September 26, 2012.

Where is Ken Wadum, Ed.D. LP located?

Ken Wadum, Ed.D. LP is located at 1530 Greenview Dr SW Suite 207, Rochester, MN 55902. The listed phone number is (507) 280-0225.

What is Ken Wadum, Ed.D. LP'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 Ken Wadum, Ed.D. LP was last updated on September 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.