Active NPI
Ronald Joseph Wutchiett, PH.D.
- Health Service Psychologist
- Edina, MN
National Provider Identifier
1689732851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- LP0219
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8L680WU | Other | MN | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LP0219 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners Inc | Past | Accepting new patients | |
| Saunders Therapy Centers Inc | Past | 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.
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- Bloomington, MN
- NPI 1952554495
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- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.