Individual provider Active NPI

Gregory Studelska III, ED.S.

  • School Psychologist
  • Crystal, MN
National Provider Identifier
1326970070
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2208785 Issued in MN
Practice address
3915 Adair Ave N
Crystal, MN 55422-1944
Phone
(763) 504-8000
NPI assigned
May 29, 2026
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 2208785 MN Primary

Addresses

Primary practice location

3915 Adair Ave N
Crystal, MN 55422-1944

Mailing address

3915 Adair Ave N
Crystal, MN 55422-1944
Phone (763) 504-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2208785MNMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1326970070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 ADAIR AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554221944",
            "telephone_number": "763-504-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 ADAIR AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554221944",
            "telephone_number": "763-504-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDELSKA",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MN",
            "license": "2208785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.