STEPHANIE UNTIEDT, PHD, LLC
NPI 1073903886
Counselor - Mental Health in Golden Valley, MN

Q: What is Stephanie Untiedt, Phd, LLC's NPI number?

The NPI number for Stephanie Untiedt, Phd, LLC is 1073903886. It was assigned to this organization in the NPPES registry on February 1, 2015.

Q: What is Stephanie Untiedt, Phd, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since February 01, 2015

5101 OLSON MEMORIAL HWY STE 4007, GOLDEN VALLEY, MN 55422(763) 595-7294(763) 595-7293 Get Directions Write a Review

NPPES record last updated: February 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephanie Untiedt, Phd, Llc NPPES

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

STEPHANIE UNTIEDT, PHD, LLC (NPI 1073903886) is a healthcare organization registered as a mental health in Golden Valley, Minnesota and active in the NPI registry since February 2015. The organization lists Stephanie Ann Untiedt, Pscyhologist, as its authorized official.

NPPES Registry Identity

NPI1073903886

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSTEPHANIE UNTIEDT, PHD, LLC

Location Address5101 OLSON MEMORIAL HWY STE 4007Golden Valley, MN 55422-5164

Mailing Address5101 Olson Memorial Hwy Ste 4007Golden Valley, MN 55422-5164 · (763) 595-7294 · Fax (763) 595-7293

Phone(763) 595-7294

Fax(763) 595-7293

Organization SubpartNo

Authorized OfficialStephanie Ann UntiedtPscyhologist · (763) 595-7294

Enumeration DateFebruary 1, 2015

✔ NPI 1073903886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · 4599

5101 OLSON MEMORIAL HWY STE 4007, Golden Valley, MN 55422

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Other Identifiers 1

Medicaid1093756041MN

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 SINGLE SPECIALTY GROUP

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 Stephanie Untiedt, Phd, LLC's NPI number?

The NPI number for Stephanie Untiedt, Phd, LLC is 1073903886. It was assigned to this organization in the NPPES registry on February 1, 2015.

Where is Stephanie Untiedt, Phd, LLC located?

Stephanie Untiedt, Phd, LLC is located at 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422. The listed phone number is (763) 595-7294.

What is Stephanie Untiedt, Phd, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stephanie Untiedt, Phd, LLC was last updated on February 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.