Individual provider Active NPI

Natasha Manish Parekh, PHD

  • Clinical Child & Adolescent Psychologist
  • Wayzata, MN
National Provider Identifier
1235512351
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
700 Twelve Oaks Center Dr
Wayzata, MN 55391
Phone
(952) 209-1510
NPI assigned
Jul 7, 2015
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10026139700MedicaidNE
47037660624MedicaidNE
47037660631MedicaidNE

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

LicenseStateTypeSpecialty
6166MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Novo Behavioral Health, LLC Clinical Child & Adolescent PastSince Oct 21, 2025 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.

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

Verify at the official NPI Registry.