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DR. MAKENNA DOUGLAS PSY.D., LP
NPI 1396617155
Psychologist - Clinical in Saint Peter, MN

Active since September 22, 2025
100 FREEMAN DR, SAINT PETER, MN 56082(507) 985-2515(651) 431-7642 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Makenna Douglas Psy.d., Lp NPPES

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

DR. MAKENNA DOUGLAS PSY.D., LP (NPI 1396617155) is an individual clinical provider in Saint Peter, Minnesota, licensed in Minnesota (LP7258) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1396617155
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MAKENNA DOUGLASCredential: PSY.D., LP
Location Address100 FREEMAN DRSaint Peter, MN 56082-3504
Mailing Address100 Freeman DrSaint Peter, MN 56082-3504 · (507) 985-2515 · Fax (651) 431-7642
Phone(507) 985-2515
Fax(651) 431-7642
Sole ProprietorNo
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1396617155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP7258
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.
100 FREEMAN DR, Saint Peter, MN 56082
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Other Providers at the Same Location NPPES 20

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

STEFANIA FARACA
Pharmacist
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2000
CARLY BEHNKE
Nurse Practitioner (Psychiatric/Mental Health)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2832
NICOLE MARIAH GOETTL MORALES LICSW
Social Worker (Clinical)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2373
TRACY LYNN OPIE
Counselor (Professional)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2446
MELANIE JEAN WURTZBERGER
Social Worker (Clinical)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2686
REBECCA ROBINSON-WARGELIN
Social Worker (Clinical)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2144
DIRECT CARE AND TREATMENT - FORENSIC SERVICES
Psychiatric Residential Treatment Facility
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2000
STACY RUTT LICSW
Social Worker (Clinical)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2902

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 Makenna Douglas's NPI number?

The NPI number for Makenna Douglas is 1396617155. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Makenna Douglas located?

Makenna Douglas practices at 100 Freeman Dr, Saint Peter, MN 56082. The listed phone number is (507) 985-2515.

What is Makenna Douglas's specialty?

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

When was this NPI record last updated?

The NPPES record for Makenna Douglas was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.