Jacquelyn K. Wiersma, PH. D.
Clinical Psychologist · Minnetonka, MN
Jacquelyn K. Wiersma, PH. D. is a clinical psychologist with a practice address in Minnetonka, Minnesota, and NPI 1386757300, issued on Aug 16, 2006. Check the license (Minnesota LP1583, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacquelyn K. Wiersma
- Credential
- PH. D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- LP1583 MN
Self-reported in NPPES; status is on the state search - Practice location
- 3931 Auburn Dr, Minnetonka, MN 55305
- Phone
- (952) 938-9499
- Enumerated
- Aug 16, 2006
- Record last updated
- Feb 3, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (952) 938-9499
- Medicare enrollment
- Enrolled (PECOS I20050426000891); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,538 in Minnesota → Look up another NPI →
Verify Jacquelyn K. Wiersma in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license LP1583Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jacquelyn K. Wiersma among 1,538 clinical psychologist records in Minnesota
Jacquelyn K. Wiersma, PH. D. is one of 1,538 clinical psychologist records with a practice address in Minnesota. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 63% newer
- In a Medicare fileNo · 26% of these records are
- In the CMS Doctors and Clinicians fileYes · 33% of these records are
- Graduated1979 · median 2008 among the 510 with a school on file
- Record last updated2017 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
29 clinical psychologist records list a practice address in Minnetonka
They are 29 of the 2,430 NPPES records with a practice address in Minnetonka, and 1,538 clinical psychologist records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,538 in Minnesota → Every provider in Minnetonka → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Sarah Ahlfs-Dunn, PH.DMinnetonka, MN 553051902112071
- Rita Benak, M.S., LICENSED PSYCHMinnetonka, MN 553051407926363
- Clare Buntrock, PH.D.Minnetonka, MN 553051144554858
- Mary Hendrickson, PSY.D., LPMinnetonka, MN 553051164569612
- Johanna Lamm, PSY.D, L.P.Minnetonka, MN 553051548370190
- Peggy MakiMinnetonka, MN 553051720171382
- Ralph McKinney, PHDMinnetonka, MN 553051598800732
- Elizabeth Metzler, MA, LPMinnetonka, MN 553051154497840
Common questions
What is Jacquelyn K. Wiersma, PH. D.'s NPI number?
Jacquelyn K. Wiersma, PH. D.'s National Provider Identifier (NPI) is 1386757300, issued on Aug 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jacquelyn K. Wiersma, PH. D. located?
The NPPES record lists a practice address at 3931 Auburn Dr, Minnetonka, MN, 55305. Phone: (952) 938-9499. Providers update this record themselves, so call before visiting.
How can I verify Jacquelyn K. Wiersma, PH. D.'s license?
NPPES lists Minnesota license number LP1583, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.