Jessica Dresden, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6055 Issued in MN

Practice address

760 Stillwater Rd Ste 101
Mahtomedi, MN 55115-2060

Phone

(612) 260-5211

Fax

(651) 967-7251

NPI assigned

Oct 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jessica Dresden PSYD LP LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mahtomedi, MN
  • NPI 1609421510
  Medicare reassignment NPD Authorized official
• Health and Wellness Collaborative

  • Clinical Psychologist
  • New Brighton, MN
  • NPI 1548822943
  NPD

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1659623361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 STILLWATER RD STE 101",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551152060",
            "telephone_number": "612-260-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 STILLWATER RD STE 101",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551152060",
            "telephone_number": "612-260-5211",
            "fax_number": "651-967-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Long Lake Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551126414",
            "country_code": "US",
            "telephone_number": "612-706-9630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Elk Hills Dr NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301923",
            "country_code": "US",
            "telephone_number": "218-750-4198",
            "fax_number": "218-750-4198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRESDEN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Marie Chaput, OTR/L
• City of Mahtomedi
• Richard Winfield Copeland Jr., DDS
• Core Chiropractic & Health
• Coventry Senior Living of Mahtomedi, LLC
• Amanda Lynn Engen
• Caley Erban
• Jeannie Marie Farrell
• Olivia Fesser, MA, LMFT
• Andrea Finch

• Clinical Psychologist in Mahtomedi, MN
• Providers in Mahtomedi, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.