Individual provider Active NPI

Ronald Joseph Wutchiett, PH.D.

  • Health Service Psychologist
  • Edina, MN
National Provider Identifier
1689732851
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
LP0219 Issued in MN
Practice address
6950 France Ave. So.
Suite 103
Edina, MN 55434
Phone
(952) 885-9018
Fax
(952) 885-9018
NPI assigned
Dec 4, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP0219 MN
Health Service Psychologist 103TH0100X LP0219 MN Primary
Rehabilitation Psychologist 103TR0400X LP0219 MN

Addresses

Primary practice location

6950 France Ave. So.
Suite 103
Edina, MN 55434

Mailing address

10375 Wildwood Rd
Bloomington, MN 55437-2297
Phone (952) 885-9018

Other identifiers 1

IdentifierTypeStateIssuer
8L680WUOtherMNBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050426000908 MN Practitioner - Clinical Psychologist 0345289781 Practice locations: Bloomington, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10375 Wildwood Rd
Bloomington, MN 55437-2297
Phone (952) 885-9018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP0219MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners Inc Past Accepting new patients
Saunders Therapy Centers Inc PastSince Jul 15, 2017 Accepting new patients

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689732851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 WILDWOOD RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372297",
            "telephone_number": "952-885-9018",
            "fax_number": "952-885-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 FRANCE AVE. SO.",
            "address_2": "SUITE 103",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "952-885-9018",
            "fax_number": "952-885-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUTCHIETT",
        "first_name": "RONALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0219",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MN",
            "license": "LP0219",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MN",
            "license": "LP0219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8L680WU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.