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THE COMPASSION BOUTIQUE PC
NPI 1457175267
Psychologist - Clinical in St Louis Park, MN

Active since November 09, 2024
4500 PARK GLEN RD STE 450, ST LOUIS PARK, MN 55416(952) 259-9099 Get Directions Write a Review

NPPES record last updated: November 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Compassion Boutique Pc NPPES

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

THE COMPASSION BOUTIQUE PC (NPI 1457175267), doing business as The Compassion Boutique, is a healthcare organization registered as a clinical in St Louis Park, Minnesota and active in the NPI registry since November 2024. The organization lists Elizabeth Wagner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457175267
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTHE COMPASSION BOUTIQUE PC
Location Address4500 PARK GLEN RD STE 450St Louis Park, MN 55416-5190
Mailing Address4500 Park Glen Rd Ste 450St Louis Park, MN 55416-5190 · (952) 259-9099
Phone(952) 259-9099
Organization SubpartNo
Authorized OfficialElizabeth WagnerCeo · (952) 295-9099
Enumeration DateNovember 9, 2024
NPPES CertifiedNovember 9, 2024
✔ NPI 1457175267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
4500 PARK GLEN RD STE 450, St Louis Park, MN 55416
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Other Names 1

Doing Business AsThe Compassion Boutique

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

MS. ELIZABETH ANN OLSON M.A.
Counselor (Professional)
4500 PARK GLEN RD STE 450
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 444-9744
DR. DARYL ELIZABETH HOLLOWAY PSYD, LP
Psychologist (Clinical)
4500 PARK GLEN RD STE 450
ST LOUIS PARK, MN 55416
Hennepin County (952) 444-9744
REGULA BADERTSCHER GALLO
Social Worker (Clinical)
4500 PARK GLEN RD STE 450
ST LOUIS PARK, MN 55416
Hennepin County (952) 444-9744
KATIE LYNN UBL
Social Worker (Clinical)
4500 PARK GLEN RD STE 450
MINNEAPOLIS, MN 55416
Hennepin County (952) 444-9744
JAMIE RAYE SHULER LMFT
Marriage & Family Therapist
4500 PARK GLEN RD STE 450
ST LOUIS PARK, MN 55416
Hennepin County (952) 444-9744
KATELYN J KEIL MSW, LICSW
Social Worker (Clinical)
4500 PARK GLEN RD STE 450
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 444-9744
HEATHER LEE MCMILLION-WEINANDT
Counselor (Mental Health)
4500 PARK GLEN RD STE 450
ST LOUIS PARK, MN 55416
Hennepin County (678) 522-6997

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 The Compassion Boutique PC's NPI number?

The NPI number for The Compassion Boutique PC is 1457175267. It was assigned to this organization in the NPPES registry on November 9, 2024. The provider is doing business as The Compassion Boutique.

Where is The Compassion Boutique PC located?

The Compassion Boutique PC is located at 4500 Park Glen Rd Ste 450, St Louis Park, MN 55416. The listed phone number is (952) 259-9099.

What is The Compassion Boutique PC'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 The Compassion Boutique PC was last updated on November 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.