Active NPI
Patricia Anna Nielsen Wilkie, LPC
- Clinical Psychologist
- Oakdale, MN
National Provider Identifier
1861796757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5843
- Practice address
- 7066 Stillwater Blvd N
Oakdale, MN 55128-3937 - Phone
- (651) 777-5222
- Fax
- (651) 251-5111
- NPI assigned
- Jan 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3717-125 | WI | |
| Clinical Psychologist | 103TC0700X | 5843 | MN | Primary |
Addresses
Primary practice location
7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Mailing address
7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Phone (651) 777-5222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3717-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1861796757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7066 STILLWATER BLVD N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551283937",
"telephone_number": "651-777-5222",
"fax_number": "651-251-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7066 STILLWATER BLVD N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551283937",
"telephone_number": "651-777-5222",
"fax_number": "651-251-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN WILKIE",
"first_name": "PATRICIA",
"middle_name": "ANNA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3717-125",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "5843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.