MICHAELA MARIE BUCCHIANERI PH.D, LP
NPI 1255840187
Psychologist - Clinical in Minnetonka, MN

Q: What is Michaela Bucchianeri's NPI number?

The NPI number for Michaela Bucchianeri is 1255840187. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Q: What is Michaela Bucchianeri's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 22, 2017

12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343(952) 999-6097(952) 426-0508 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2017, Sep 22, 2017 (2 updates tracked since 2017).

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About Michaela Marie Bucchianeri Ph.d, Lp NPPES

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

MICHAELA MARIE BUCCHIANERI PH.D, LP (NPI 1255840187) is an individual clinical provider in Minnetonka, Minnesota, licensed in Minnesota (LP6153) and active in the NPI registry since September 2017. She maintains a secondary practice location in Minnetonka.

NPPES Registry Identity

NPI1255840187

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMICHAELA MARIE BUCCHIANERICredential: PH.D, LP

Location Address12301 WHITEWATER DR STE 101Minnetonka, MN 55343-4157

Mailing Address12301 Whitewater Dr Ste 101Minnetonka, MN 55343-4157 · (952) 999-6097 · Fax (952) 426-0508

Phone(952) 999-6097

Fax(952) 426-0508

Sole ProprietorNo

Enumeration DateSeptember 22, 2017

Last NPPES UpdateNovember 20, 20172 updates tracked since enumeration

✔ NPI 1255840187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP6153

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License LP6153 (MN)

12301 WHITEWATER DR STE 101, Minnetonka, MN 55343

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Secondary Practice Location 1

Location 112301 Whitewater Dr Ste 101Minnetonka, MN 55343-4157 · Phone (952) 999-6097 · Fax (952) 426-0508

Other Identifiers 1

Medicaid1255840187MN

Other Providers at the Same Location NPPES 18

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

MS. LAURA ANN JAAP M.A., L.P.

Psychologist (Counseling)