Judy Tiesel, PH.D

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

3280 Issued in MN

Practice address

7400 Metro Blvd
Suite 413
Edina, MN 55439-2316

Phone

(952) 835-6950

Fax

(952) 835-0072

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467664359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD",
            "address_2": "SUITE 413",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "952-835-6950",
            "fax_number": "952-835-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD",
            "address_2": "SUITE 413",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "952-835-6950",
            "fax_number": "952-835-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIESEL",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MN",
            "license": "3280",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUESHIELD",
            "identifier": "8H911T1",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6299691",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Three Sixty Health Inc
• Thrive Modern Health P.a.
• Thrivewell Psychology PLLC
• Brian Thyr, M.D.
• Kyle D Tidstrom, D.D.S.
• Dalika Tiev, RPH
• Andrew L Tievsky, MD
• Laura Ellen Tilton, MD
• Amanda Jean Timmerman, PHARMD
• Ashley Lynn Tix, MA

• Family Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Family Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.