FABIO ANDRE AZEREDO
NPI 1972258630
Psychologist - Psychoanalysis in Minnetonka, MN

Q: What is Fabio Azeredo's NPI number?

The NPI number for Fabio Azeredo is 1972258630. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Q: What is Fabio Azeredo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Q: When was this NPI record last updated?

The NPPES record for Fabio Azeredo was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 21, 2022

250 CARLSON PKWY APT 202, MINNETONKA, MN 55305(612) 704-3339 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Fabio Andre Azeredo NPPES

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

FABIO ANDRE AZEREDO (NPI 1972258630) is an individual psychoanalysis provider in Minnetonka, Minnesota and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1972258630

Entity TypeIndividualMale

Primary Taxonomy103TP0814X

Provider Legal NameFABIO ANDRE AZEREDO

Location Address250 CARLSON PKWY APT 202Minnetonka, MN 55305-5320

Mailing Address250 Carlson Pkwy Apt 202Minnetonka, MN 55305-5320 · (612) 704-3339

Phone(612) 704-3339

Sole ProprietorYes

Enumeration DateFebruary 21, 2022

NPPES CertifiedFebruary 21, 2022

✔ NPI 1972258630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers

Taxonomy Code103TP0814X

Definition

A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.

250 CARLSON PKWY APT 202, Minnetonka, MN 55305

Open in Google Maps ↗

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 Fabio Azeredo's NPI number?

The NPI number for Fabio Azeredo is 1972258630. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Where is Fabio Azeredo located?

Fabio Azeredo practices at 250 Carlson Pkwy Apt 202, Minnetonka, MN 55305. The listed phone number is (612) 704-3339.

What is Fabio Azeredo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

When was this NPI record last updated?

The NPPES record for Fabio Azeredo was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.