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MARK R FASTNER MA LP
NPI 1942278577
Psychologist - Clinical in Woodbury, MN

Active since March 09, 2006
1811 WEIR DRIVE, SUITE 355 MAIL STOP 13701A, WOODBURY, MN 55125(651) 730-6151(651) 730-1700 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mark R Fastner Ma Lp NPPES

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

MARK R FASTNER MA LP (NPI 1942278577) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (2844) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1942278577
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMARK R FASTNERCredential: MA LP
Location Address1811 WEIR DRIVE, SUITE 355 MAIL STOP 13701AWoodbury, MN 55125-2273
Mailing Address8100 34th Ave S, 21110qBloomington, MN 55425-1672 · (952) 883-7961 · Fax (952) 883-5395
Phone(651) 730-6151
Fax(651) 730-1700
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1942278577 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 · 2844
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.
1811 WEIR DRIVE, Woodbury, MN 55125
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Other Providers at the Same Location NPPES 5

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

DARREL L COTCH PA
Physician Assistant
1811 WEIR DRIVE, SUITE 355
WOODBURY, MN 55125
Washington County (651) 254-8580
PETER B BRANDENHOFF MSW LICSW
Social Worker (Clinical)
1811 WEIR DRIVE, SUITE 355 MAIL STOP 13701A
WOODBURY, MN 55125
Washington County (651) 730-6151
KRISTY LEE BURGESS M.A., LMFT
Marriage & Family Therapist
1811 WEIR DRIVE, SUITE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
JENNIFER DANIELSON
Psychologist (Clinical)
1811 WEIR DRIVE, SUITE 355
WOODBURY, MN 55125
Washington County (651) 254-8580
JEANETTE L ZACZKOWSKI MSW LICSW
Social Worker (Clinical)
1811 WEIR DRIVE, SUITE 355 MAIL STOP 13701A
WOODBURY, MN 55125
Washington County (651) 730-6151

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 Mark Fastner's NPI number?

The NPI number for Mark Fastner is 1942278577. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Mark Fastner located?

Mark Fastner practices at 1811 Weir Drive Suite 355 Mail Stop 13701A, Woodbury, MN 55125. The listed phone number is (651) 730-6151.

What is Mark Fastner'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 Mark Fastner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.