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PHILLIP L. EDWARDSON M.D.
NPI 1891862389
Psychiatry & Neurology - Child & Adolescent Psychiatry in Minneapolis, MN

Active since November 29, 2006
3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55416(612) 925-6033 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phillip L. Edwardson M.d. NPPES

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

PHILLIP L. EDWARDSON M.D. (NPI 1891862389) is an individual child & adolescent psychiatry provider in Minneapolis, Minnesota, licensed in Minnesota (19329) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1891862389
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NamePHILLIP L. EDWARDSONCredential: M.D.
Location Address3100 W LAKE ST, SUITE 210Minneapolis, MN 55416-4527
Mailing Address3100 W Lake St, Suite 210Minneapolis, MN 55416-4527 · (612) 925-6033
Phone(612) 925-6033
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 20, 2013
✔ NPI 1891862389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MN · 19329
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3100 W LAKE ST, Minneapolis, MN 55416
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Other Identifiers 5

Medicare UPIN22163EDMN
Medicare UPIN1518064MN
Other830593500MN · Medical Assistance
Medicare UPIN101924MN
Medicare UPINHP13217MN

Other Providers at the Same Location NPPES 20

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

DIANE JASKOVIAK LP
Psychologist (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Hennepin County (612) 925-6033
GARA SWENSON LP
Psychologist (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Hennepin County (612) 925-6033
MARLENE MCEWAN LP
Psychologist (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Hennepin County (612) 925-6033
GREGG RILEY LP
Psychologist (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Hennepin County (612) 925-6033
BRUCE STEWART LP
Psychologist (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Hennepin County (612) 925-6033
MARIA SCHEIDEGGER LP, LICSW, RN
Registered Nurse
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Hennepin County (612) 925-6033
MARY LOUISE HARLOW PSYD, LP
Psychologist (Group Psychotherapy)
3100 W LAKE ST, #320
MINNEAPOLIS, MN 55416
Hennepin County (612) 922-6578
SHELLEY L PUCCI LICSW
Social Worker (Clinical)
3100 W LAKE ST, STE 210
MINNEAPOLIS, MN 55416
Hennepin County (612) 925-6033

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 Phillip Edwardson's NPI number?

The NPI number for Phillip Edwardson is 1891862389. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Phillip Edwardson located?

Phillip Edwardson practices at 3100 W Lake St Suite 210, Minneapolis, MN 55416. The listed phone number is (612) 925-6033.

What is Phillip Edwardson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Phillip Edwardson was last updated on December 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.