HEALTHWISE PSYCHOLOGY, PA
NPI 1184920753
Psychologist - Clinical in Maple Grove, MN
About Healthwise Psychology, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHWISE PSYCHOLOGY, PA (NPI 1184920753) is a healthcare organization registered as a clinical in Maple Grove, Minnesota and active in the NPI registry since January 2011. The organization lists Kristin B Dahl, Licensed Psychologist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthwise Psychology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
51Medicare enrollment records show 51 clinicians reassign Medicare billing to Healthwise Psychology, PA, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 51Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Healthwise Psychology, PA's NPI number?
The NPI number for Healthwise Psychology, PA is 1184920753. It was assigned to this organization in the NPPES registry on January 31, 2011.
Where is Healthwise Psychology, PA located?
Healthwise Psychology, PA is located at 11280 86th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 400-7828.
What is Healthwise Psychology, PA's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Healthwise Psychology, PA enrolled in Medicare?
Yes. Healthwise Psychology, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healthwise Psychology, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 6 Medicare specialties reassign their Medicare billing to Healthwise Psychology, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (12), Clinical Social Worker (12) and Mental Health Counselor (11). Of these, 11 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Healthwise Psychology, PA accept?
Health plans from HealthPartners list Healthwise Psychology, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Healthwise Psychology, PA was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Healthwise Psychology, Pa · NPI 1184920753
Clinical organization in Maple Grove, Minnesota. Organization record, active in the CMS NPPES registry since January 31, 2011.
## Identity
- **NPI:** 1184920753 (Entity type: Organization)
- **Enumerated:** January 31, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Kristin Dahl, LICENSED PSYCHOLOGIST/OWNER
## Practice location
- **Address:** 11280 86TH AVE N, Maple Grove, MN 55369-4510
- **Phone:** (763) 400-7828 · **Fax:** (763) 400-7444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 51 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (12), Clinical Social Worker (12), Mental Health Counselor (11); 11 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1184920753/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2014
- **Other identifiers:** Other H100135821 (MN); Medicaid 558677200 (MN); Medicare PIN H100135821 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1184920753) · Data from the CMS NPPES public registry.