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TONKA LIFE CENTER
NPI 1992171110
Psychologist - Clinical in Wayzata, MN

Active since August 12, 2015
3305 CASCO CIR, WAYZATA, MN 55391(952) 393-6280(952) 471-7211 Get Directions Write a Review

NPPES record last updated: October 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tonka Life Center NPPES

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

TONKA LIFE CENTER (NPI 1992171110) is a healthcare organization registered as a clinical in Wayzata, Minnesota and active in the NPI registry since August 2015. The organization lists Brian Vernon Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1992171110
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTONKA LIFE CENTER
Location Address3305 CASCO CIRWayzata, MN 55391-9718
Mailing Address3305 Casco CirWayzata, MN 55391-9718 · (952) 393-6280 · Fax (952) 471-7211
Phone(952) 393-6280
Fax(952) 471-7211
Organization SubpartNo
Authorized OfficialBrian Vernon NelsonOwner · (952) 393-6280
Enumeration DateAugust 12, 2015
Last NPPES UpdateOctober 24, 2015
✔ NPI 1992171110 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 · LP1543
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.

3305 CASCO CIR, Wayzata, MN 55391
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MR. BRIAN VERNON NELSON LP, LSP
Psychologist (Cognitive & Behavioral)
3305 CASCO CIR
WAYZATA, MN 55391
Hennepin County (952) 471-7211
BRIAN V. NELSON, LP
Psychologist
3305 CASCO CIR
WAYZATA, MN 55391
Hennepin County (952) 393-6280

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 Tonka Life Center's NPI number?

The NPI number for Tonka Life Center is 1992171110. It was assigned to this organization in the NPPES registry on August 12, 2015.

Where is Tonka Life Center located?

Tonka Life Center is located at 3305 Casco Cir, Wayzata, MN 55391. The listed phone number is (952) 393-6280.

What is Tonka Life Center'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 Tonka Life Center was last updated on October 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.