Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. TERRYL RADDATZ PHD, LP
NPI 1881693158
Psychologist - Clinical in Shakopee, MN

Q: What is Terryl Raddatz's NPI number?

The NPI number for Terryl Raddatz is 1881693158. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Terryl Raddatz'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 Terryl Raddatz was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 19, 2005

200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379(952) 496-8268 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Terryl Raddatz Phd, Lp NPPES

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

DR. TERRYL RADDATZ PHD, LP (NPI 1881693158) is an individual clinical provider in Shakopee, Minnesota, licensed in Minnesota (2986) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1881693158

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TERRYL RADDATZCredential: PHD, LP

Location Address200 4TH AVE W, GOVERNMENT CENTER RM 300Shakopee, MN 55379-1220

Mailing Address200 4th Ave W, Government Center Rm 300Shakopee, MN 55379-1220

Phone(952) 496-8268

Sole ProprietorNo

Enumeration DateJuly 19, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1881693158 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 · 2986

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.

200 4TH AVE W, Shakopee, MN 55379

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