MARCI MARIE MUELLER THEISEN PSYD, CPRP, LP
NPI 1578697173
Psychologist - Clinical in Maple Grove, MN

Q: What is Marci Mueller Theisen's NPI number?

The NPI number for Marci Mueller Theisen is 1578697173. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Marci Mueller Theisen's specialty?

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

Active since March 15, 2007

11280 86TH AVE N, MAPLE GROVE, MN 55369(763) 400-7828(763) 400-7444 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marci Marie Mueller Theisen Psyd, Cprp, Lp NPPES

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

MARCI MARIE MUELLER THEISEN PSYD, CPRP, LP (NPI 1578697173) is an individual clinical provider in Maple Grove, Minnesota, licensed in Minnesota (LP4697) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1578697173

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARCI MARIE MUELLER THEISENCredential: PSYD, CPRP, LP

Location Address11280 86TH AVE NMaple Grove, MN 55369-4510

Mailing Address11280 86th Ave NMaple Grove, MN 55369-4510 · (763) 400-7828 · Fax (763) 400-7444

Phone(763) 400-7828

Fax(763) 400-7444

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateMay 23, 2014

✔ NPI 1578697173 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 · LP4697

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.

11280 86TH AVE N, Maple Grove, MN 55369

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Other Identifiers 3

Medicaid328687800MN

Medicare PINH400137396MN

OtherH400137396MN · Medicare Ptan

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.

KATHRYN SCHUSTER

Social Worker (Clinical)