Wick Psychotherapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WICK PSYCHOTHERAPY

Practice address

1001 Twelve Oaks Center Dr Ste 1030E
Wayzata, MN 55391-4320

Phone

(612) 910-3108

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Christie Wick, LMFT

Title

Marriage & Family Therapist

Phone

(612) 910-3108

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1053059105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 S BAY CURV",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471120",
            "telephone_number": "612-910-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TWELVE OAKS CENTER DR STE 1030E",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914320",
            "telephone_number": "612-910-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICK PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "612-910-3108",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Wenk
• West Lake Family Services
• Simona Rae Whiley, CMT
• Whole Brain Healing Therapy
• Wholehearted Healing LLC
• Paul Eugene Wicklund, M.D.
• Cassandra Wilder, NMD
• Patricia M Winters, OD
• Alexandra A Wold
• David Allen Young

• Adult Mental Health Clinic/Center in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.