DR. ELLEN CHAZDON, PSY.D., L.P., LLC
NPI 1457748477
Psychologist - Clinical in Edina, MN

Active since April 16, 2015
5200 WILLSON RD STE 490, EDINA, MN 55424(952) 920-9304 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ellen Chazdon, Psy.d., L.p., Llc NPPES

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

DR. ELLEN CHAZDON, PSY.D., L.P., LLC (NPI 1457748477) is a healthcare organization registered as a clinical in Edina, Minnesota and active in the NPI registry since April 2015. The organization lists Ellen Chazdon, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1457748477
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDR. ELLEN CHAZDON, PSY.D., L.P., LLC
Location Address5200 WILLSON RD STE 490Edina, MN 55424-1398
Mailing Address5200 Willson Rd Ste 490Edina, MN 55424-1398 · (952) 920-9304
Organization SubpartNo
Authorized OfficialEllen ChazdonLicensed Psychologist · (612) 310-3318
Enumeration DateApril 16, 2015
NPI 1457748477 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 · 3170
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.
5200 WILLSON RD STE 490, Edina, MN 55424

Other Identifiers 2

Medicare UPIN680003104
Medicaid720817100MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dr. Ellen Chazdon, Psy.D., L.P., LLC's NPI number?

The NPI number for Dr. Ellen Chazdon, Psy.D., L.P., LLC is 1457748477. It was assigned to this organization in the NPPES registry on April 16, 2015.

Where is Dr. Ellen Chazdon, Psy.D., L.P., LLC located?

Dr. Ellen Chazdon, Psy.D., L.P., LLC is located at 5200 Willson Rd Ste 490, Edina, MN 55424. The listed phone number is (952) 920-9304.

What is Dr. Ellen Chazdon, Psy.D., L.P., LLC'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 Dr. Ellen Chazdon, Psy.D., L.P., LLC was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.