Active NPI
Barbara A Wilkus, PSYD LP
- Psychologist
- Minnetonka, MN
National Provider Identifier
1548324783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP4031
- Practice address
- 15320 Minnetonka Blvd
#200
Minnetonka, MN 55345 - Phone
- (952) 932-7277
- Fax
- (952) 932-9827
- NPI assigned
- Dec 21, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP4031 | MN | Primary |
Addresses
Primary practice location
15320 Minnetonka Blvd
#200
Minnetonka, MN 55345
Mailing address
15320 Minnetonka Blvd
Relate Inc #200
Minnetonka, MN 55345
Phone (952) 932-7277
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548324783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15320 MINNETONKA BLVD",
"address_2": "RELATE INC #200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-932-7277",
"fax_number": "952-932-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15320 MINNETONKA BLVD",
"address_2": "#200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-932-7277",
"fax_number": "952-932-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKUS",
"first_name": "BARBARA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP4031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.