DR. ELLEN CHAZDON PSY D LP
NPI 1205868635
Psychologist in Edina, MN
About Dr. Ellen Chazdon Psy D Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELLEN CHAZDON PSY D LP (NPI 1205868635) is an individual psychologist in Edina, Minnesota, licensed in Minnesota (3170) and active in the NPI registry since July 2006. She has opted out of Medicare through October 5, 2026.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Ellen Chazdon Psy D Lp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 5, 2022 through October 5, 2026.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ellen Chazdon's NPI number?
The NPI number for Ellen Chazdon is 1205868635. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is Ellen Chazdon located?
Ellen Chazdon practices at 5100 Eden Ave Suite 117, Edina, MN 55436. The listed phone number is (952) 920-9304.
What is Ellen Chazdon's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Ellen Chazdon enrolled in Medicare?
No. Ellen Chazdon has opted out of Medicare through October 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ellen Chazdon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.