Active NPI
Natasha Manish Parekh, PHD
- Clinical Child & Adolescent Psychologist
- Wayzata, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 700 Twelve Oaks Center Dr
Wayzata, MN 55391 - Phone
- (952) 209-1510
- NPI assigned
- Jul 7, 2015
- Last updated
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6166 | MN | |
| Psychologist | 103T00000X | NU | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | Primary |
Addresses
Primary practice location
700 Twelve Oaks Center Dr
Wayzata, MN 55391
Mailing address
700 Twelve Oaks Center Dr
Wayzata, MN 55391-4401
Phone (952) 209-1510
Other practice location 1
13460 Walsh Dr
Boys Town, NE 68010-7529
Phone (402) 498-3358
Other practice location 2
1340 Wescott Rd
Eagan, MN 55123-1029
Phone (612) 268-2588
Other practice location 3
5200 Willson Rd
Edina, MN 55424
Phone (651) 470-5840
Other practice location 4
5200 Willson Rd
Edina, MN 55424
Phone (651) 470-5840
Other practice location 5
5200 Willson Rd
Edina, MN 55424
Phone (651) 470-5840
Other practice location 6
700 Twelve Oaks Center Dr
Wayzata, MN 55391-4401
Phone (952) 209-1510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026139700 | Medicaid | NE | |
| 47037660624 | Medicaid | NE | |
| 47037660631 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 26, 2024 through Sep 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6166 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novo Behavioral Health, LLC | Clinical Child & Adolescent | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Natasha Parekh Phd LP
- Professional Counselor
- St Louis Park, MN
- NPI 1629563929
Clinical Child & Adolescent
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1235512351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 TWELVE OAKS CENTER DR",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553914401",
"telephone_number": "952-209-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 TWELVE OAKS CENTER DR",
"city": "WAYZATA",
"state": "MN",
"postal_code": "55391",
"telephone_number": "952-209-1510"
}
],
"practiceLocations": [
{
"address_1": "13460 Walsh Dr",
"address_purpose": "LOCATION",
"city": "Boys Town",
"state": "NE",
"postal_code": "680107529",
"country_code": "US",
"telephone_number": "402-498-3358",
"fax_number": "402-498-3375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1340 Wescott Rd",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551231029",
"country_code": "US",
"telephone_number": "612-268-2588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Willson Rd",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "55424",
"country_code": "US",
"telephone_number": "651-470-5840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Willson Rd",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "55424",
"country_code": "US",
"telephone_number": "651-470-5840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Willson Rd",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "55424",
"country_code": "US",
"telephone_number": "651-470-5840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Twelve Oaks Center Dr",
"address_purpose": "LOCATION",
"city": "Wayzata",
"state": "MN",
"postal_code": "553914401",
"country_code": "US",
"telephone_number": "952-209-1510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAREKH",
"first_name": "NATASHA",
"middle_name": "MANISH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "6166",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026139700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660624",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660631",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.