Individual provider Active NPI

Brianna Wellen

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1891426847
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP7003 Issued in MN
Practice address
2025 E River Pkwy
Minneapolis, MN 55414-3604
Phone
(207) 522-3298
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP7003 MN Primary
Clinical Psychologist 103TC0700X LP7003 MN

Addresses

Primary practice location

2025 E River Pkwy
Minneapolis, MN 55414-3604

Mailing address

2075 Scudder St
Saint Paul, MN 55108-1822
Phone (207) 522-3298

Other practice location 1

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (207) 522-3298

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
I20241030001502 MN Practitioner - Clinical Psychologist 4486187317 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP7003MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Physicians CurrentSince Dec 18, 2024 Accepting new patients
University of Minnesota Physicians CurrentSince Dec 18, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Dec 18, 2024 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Dec 18, 2024 Accepting new patients
Fairview Express Care CurrentSince Dec 18, 2024 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Fairview Health Services CurrentSince Dec 18, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Dec 18, 2024 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Dec 18, 2024 Accepting new patients

Locations

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

2025 E River Rd
Minneapolis, MN 55414
Phone (612) 301-0115

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1891426847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SCUDDER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081822",
            "telephone_number": "207-522-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E RIVER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143604",
            "telephone_number": "207-522-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541450",
            "country_code": "US",
            "telephone_number": "207-522-3298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLEN",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP7003",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP7003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.