STEPHANIE P PEDERSEN L.P.
NPI 1104070952
Psychologist in Minnetonka, MN

Active since November 06, 2008PECOS Enrolled
5125 COUNTY ROAD 101, SUITE 300, RELATE, INC., MINNETONKA, MN 55345(952) 932-7277(952) 932-9827 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie P Pedersen L.p. NPPES

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

STEPHANIE P PEDERSEN L.P. (NPI 1104070952) is an individual psychologist in Minnetonka, Minnesota, licensed in Minnesota (LP 4964) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minnetonka.

NPPES Registry Identity

NPI1104070952
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTEPHANIE P PEDERSENCredential: L.P.
Location Address5125 COUNTY ROAD 101, SUITE 300, RELATE, INC.Minnetonka, MN 55345
Mailing Address5125 County Road 101, Suite 300, Relate, Inc.Minnetonka, MN 55345 · (952) 932-7277 · Fax (952) 932-9827
Fax(952) 932-9827
Sole ProprietorNo
Enumeration DateNovember 6, 2008
Last NPPES UpdateNovember 20, 2017
NPI 1104070952 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 · LP 4964
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.
5125 COUNTY ROAD 101, SUITE 300, Minnetonka, MN 55345

Secondary Practice Location 1

Location 115320 Minnetonka Blvd, #200Minnetonka, MN 55345 · Phone (952) 932-7277 · Fax (952) 932-9827

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie P Pedersen L.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

Counselor (Professional)
5125 COUNTY ROAD 101, SUITE 300
MINNETONKA, MN 55345
Social Worker (Clinical)
5125 COUNTY ROAD 101, SUITE 300, RELATE, INC.
MINNETONKA, MN 55345
Social Worker (Clinical)
5125 COUNTY ROAD 101, SUITE 300
MINNETONK, MN 55345
Social Worker (Clinical)
5125 COUNTY ROAD 101, SUITE 300
MINNETONKA, MN 55345
Marriage & Family Therapist
5125 COUNTY ROAD 101, SUITE 300, RELATE, INC.
MINNETONKA, MN 55345
Social Worker (Clinical)
5125 COUNTY ROAD 101, SUITE 300
MINNETONKA, MN 55345
Social Worker (Clinical)
5125 COUNTY ROAD 101, SUITE 300
MINNETONKA, MN 55345
Marriage & Family Therapist
5125 COUNTY ROAD 101, SUITE 300, RELATE, INC.
MINNETONKA, MN 55345

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 Pedersen's NPI number?

The NPI number for Stephanie Pedersen is 1104070952. It was assigned to this individual provider in the NPPES registry on November 6, 2008.

Where is Stephanie Pedersen located?

Stephanie Pedersen practices at 5125 County Road 101, Suite 300 Relate, Inc., Minnetonka, MN 55345. The listed phone number is (952) 932-7277.

What is Stephanie Pedersen's specialty?

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

Is Stephanie Pedersen enrolled in Medicare?

Yes. Stephanie Pedersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Pedersen was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.