MELISSA ANDERSON POLUSNY PHD
NPI 1669487229
Psychologist - Clinical in Minnetrista, MN

Q: What is Melissa Polusny's NPI number?

The NPI number for Melissa Polusny is 1669487229. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Q: What is Melissa Polusny's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Polusny was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 30, 2006

3490 LYTHRUM WAY, MINNETRISTA, MN 55364(942) 214-2858 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Melissa Anderson Polusny Phd NPPES

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

MELISSA ANDERSON POLUSNY PHD (NPI 1669487229) is an individual clinical provider in Minnetrista, Minnesota, licensed in Minnesota (LP4362) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1669487229

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMELISSA ANDERSON POLUSNYCredential: PHD

Location Address3490 LYTHRUM WAYMinnetrista, MN 55364-9438

Mailing Address3490 Lythrum WayMinnetrista, MN 55364-9438 · (952) 214-2858

Phone(942) 214-2858

Sole ProprietorNo

Enumeration DateJuly 30, 2006

Last NPPES UpdateJanuary 12, 2026

NPPES CertifiedJanuary 12, 2026

✔ NPI 1669487229 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 · LP4362

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.

3490 LYTHRUM WAY, Minnetrista, MN 55364

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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 Melissa Polusny's NPI number?

The NPI number for Melissa Polusny is 1669487229. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Melissa Polusny located?

Melissa Polusny practices at 3490 Lythrum Way, Minnetrista, MN 55364. The listed phone number is (942) 214-2858.

What is Melissa Polusny'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 Melissa Polusny was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.