DR. JAMES JENKINS THEISEN PH.D., LP
NPI 1689673857
Psychologist - Clinical in Minneapolis, MN

Active since July 19, 2005
6 E DIAMOND LAKE RD, MINNEAPOLIS, MN 55419(612) 237-2752 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Jenkins Theisen Ph.d., Lp NPPES

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

DR. JAMES JENKINS THEISEN PH.D., LP (NPI 1689673857) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP3639) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1689673857
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAMES JENKINS THEISENCredential: PH.D., LP
Location Address6 E DIAMOND LAKE RDMinneapolis, MN 55419-1923
Mailing Address4206 5th Ave SMinneapolis, MN 55409-2120 · (612) 237-2752 · Fax (612) 237-2752
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
NPI 1689673857 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 · LP3639
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.
6 E DIAMOND LAKE RD, Minneapolis, MN 55419

Other Identifiers 3

Other144M0THBc/bs
Other61-78532Medica
Other169040Ucare

Other Providers at the Same Location NPPES 3

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

Psychologist
6 E DIAMOND LAKE RD
MINNEAPOLIS, MN 55419
Counselor (Professional)
6 E DIAMOND LAKE RD
MINNEAPOLIS, MN 55419
Marriage & Family Therapist
6 E DIAMOND LAKE RD
MINNEAPOLIS, MN 55419

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 James Theisen's NPI number?

The NPI number for James Theisen is 1689673857. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is James Theisen located?

James Theisen practices at 6 E Diamond Lake Rd, Minneapolis, MN 55419. The listed phone number is (612) 237-2752.

What is James Theisen'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 James Theisen was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.