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JENNA WIEDEN PHD
NPI 1790191252
Psychologist - Clinical in Stillwater, MN

Active since July 05, 2014
333 MAIN ST N STE 110, STILLWATER, MN 55082(651) 425-9297 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenna Wieden Phd NPPES

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

JENNA WIEDEN PHD (NPI 1790191252) is an individual clinical provider in Stillwater, Minnesota, licensed in Minnesota (LP6503) and active in the NPI registry since July 2014. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1790191252
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNA WIEDENCredential: PHD
Location Address333 MAIN ST N STE 110Stillwater, MN 55082-5054
Mailing Address8955 Jane Rd NLake Elmo, MN 55042-9512 · (651) 428-5454
Phone(651) 425-9297
Sole ProprietorNo
Enumeration DateJuly 5, 2014
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1790191252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP6503
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 ListedPsychologist · SchoolTaxonomy 103TS0200X
333 MAIN ST N STE 110, Stillwater, MN 55082
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Secondary Practice Location 1

Location 11440 Broadway, Suite #610Oakland, CA 94612-2041 · Phone (651) 428-5454

Other Providers at the Same Location NPPES 2

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

KATHRYN LABORE
Psychologist
333 MAIN ST N STE 110
STILLWATER, MN 55082
Washington County (651) 425-9297
DR. HARMONY ANN CARLSON PSY.D., LP
Psychologist (Clinical)
333 MAIN ST N STE 110
STILLWATER, MN 55082
Washington County (651) 425-9297

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 Jenna Wieden's NPI number?

The NPI number for Jenna Wieden is 1790191252. It was assigned to this individual provider in the NPPES registry on July 5, 2014.

Where is Jenna Wieden located?

Jenna Wieden practices at 333 Main St N Ste 110, Stillwater, MN 55082. The listed phone number is (651) 425-9297.

What is Jenna Wieden'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 Jenna Wieden was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.