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Jacquelyn K. Wiersma, Ph. D., Lp, Pllc

Clinical Psychologist in Minnetonka, MN · enumerated 2006 · authorized official Jacquelyn Wiersma, Chief Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770696726

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Registry record

Entity type Organization (Type 2)
Legal business name Jacquelyn K. Wiersma, Ph. D., Lp, Pllc
Practice address 3931 Auburn Dr, Minnetonka, MN, 55305
Fax (952) 938-9499
Enumeration date Aug 16, 2006
Last updated in NPPES Apr 5, 2017

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License LP1583 (MN) Primary

Authorized official

Name Jacquelyn Wiersma
Title Chief Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jacquelyn K. Wiersma, Ph. D., Lp, Pllc?
The NPI for Jacquelyn K. Wiersma, Ph. D., Lp, Pllc is 1770696726, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jacquelyn K. Wiersma, Ph. D., Lp, Pllc?
NPPES lists Jacquelyn Wiersma (Chief Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-05.