WICK PSYCHOTHERAPY
NPI 1053059105
Clinic/Center - Adult Mental Health in Wayzata, MN

Q: What is Wick Psychotherapy's NPI number?

The NPI number for Wick Psychotherapy is 1053059105. It was assigned to this organization in the NPPES registry on May 26, 2022.

Q: What is Wick Psychotherapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since May 26, 2022

1001 TWELVE OAKS CENTER DR STE 1030E, WAYZATA, MN 55391(612) 910-3108 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wick Psychotherapy NPPES

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

WICK PSYCHOTHERAPY (NPI 1053059105) is a healthcare organization registered as an adult mental health in Wayzata, Minnesota and active in the NPI registry since May 2022. The organization lists Christie Wick, Marriage & Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1053059105

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameWICK PSYCHOTHERAPY

Location Address1001 TWELVE OAKS CENTER DR STE 1030EWayzata, MN 55391-4320

Mailing Address7959 S Bay CurvEden Prairie, MN 55347-1120 · (612) 910-3108

Phone(612) 910-3108

Organization SubpartNo

Authorized OfficialChristie WickMarriage & Family Therapist · (612) 910-3108

Enumeration DateMay 26, 2022

NPPES CertifiedMay 26, 2022

✔ NPI 1053059105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

1001 TWELVE OAKS CENTER DR STE 1030E, Wayzata, MN 55391

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Other Providers at the Same Location NPPES

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

KERIN E LOGSTROM MA, LMFT

Marriage & Family Therapist

1001 TWELVE OAKS CENTER DR STE 1030E
WAYZATA, MN 55391

Hennepin County (952) 457-5704

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 Wick Psychotherapy's NPI number?

The NPI number for Wick Psychotherapy is 1053059105. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Wick Psychotherapy located?

Wick Psychotherapy is located at 1001 Twelve Oaks Center Dr Ste 1030E, Wayzata, MN 55391. The listed phone number is (612) 910-3108.

What is Wick Psychotherapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Wick Psychotherapy was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.