Wandrei Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WANDREI PSYCHOLOGICAL SERVICES

Practice address

1245 Gun Club Rd
White Bear Lake, MN 55110-3379

Phone

(651) 755-7875

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary L. Wandrei, PHDNPI 1124206818

Title

Owner

Phone

(651) 755-7875

Specialties & licenses 2

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary L. Wandrei, PHD

  • Clinical Psychologist
  • Shoreview, MN
  • NPI 1124206818
  NPD Authorized official
• Cascia Berman

  • Counselor
  • White Bear Lake, MN
  • NPI 1740052935
  NPD
• Andrew Clark Hoistad

  • Student in an Organized Health Care Education/Training Program
  • White Bear Lake, MN
  • NPI 1114799301
  NPD
• Melody Olson

  • Mental Health Counselor
  • White Bear Lake, MN
  • NPI 1407628530
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1043093636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 GUN CLUB RD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103379",
            "telephone_number": "651-755-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 GUN CLUB RD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103379",
            "telephone_number": "651-755-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDREI PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "WANDREI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-755-7875",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreens
• Andrea Leigh Walker
• Kierra Walker
• Rosie Walker
• Jessica Christine Wan, CCC-SLP
• Andenum Amos Waquong, MD, DNP, PHN, FNP-C
• Louisa Warren
• Brittanei Paigelle Wayne
• William Wedin, M.D.
• Kathleen Frances Weinbender, MSW, LICSW

• Clinical Psychologist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.