Keith Wayne Fridel, PHD
Psychologist · Shakopee, MN
Keith Wayne Fridel, PHD is a psychologist with a practice address in Shakopee, Minnesota, and NPI 1215345244, issued on Jul 22, 2014. Check the license with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Keith Wayne Fridel
- Credential
- PHD
- Primary taxonomy
- Psychologist 103T00000X
- License number
- 071008852 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1415 Saint Francis Ave, Shakopee, MN 55379
- Phone
- (952) 993-7750
- Enumerated
- Jul 22, 2014
- Record last updated
- Mar 17, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20170923000058); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychologist records → All 1,694 in Minnesota → Look up another NPI →
Also registered at 1415 Saint Francis Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Keith Wayne Fridel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Park Nicollet ClinicShakopee, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Keith Wayne Fridel among 1,694 psychologist records in Minnesota
Keith Wayne Fridel, PHD is one of 1,694 psychologist records with a practice address in Minnesota. 22% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 75% of them.
- NPI issued2014 · 75% of these records are older, 23% newer
- In a Medicare fileYes · 22% of these records are
- In the CMS Doctors and Clinicians fileYes · 25% of these records are
- Graduated2011 · median 2007 among the 427 with a school on file
- Record last updated2018 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
15 psychologist records list a practice address in Shakopee
They are 15 of the 666 NPPES records with a practice address in Shakopee, and 1,694 psychologist records in Minnesota.
All 1,694 in Minnesota → Every provider in Shakopee → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Alicia Aldrich, PSY.D.Shakopee, MN 553791902271521
- Deborah Battles, MA, LPShakopee, MN 553791093716714
- Kevin Blonigen, M.A., L.P.Shakopee, MN 553791578637534
- Lowell Campbell, PSYD, LPShakopee, MN 553791659393684
- Kimberly Christensen, MA, LPShakopee, MN 553791194891143
- Amy Deloyski, PSY.D.Shakopee, MN 553791255584975
- Christopher Fischer, PSY.D.Shakopee, MN 553791720219819
- Diane Foy Kuntz, MED LPShakopee, MN 553791720174816
Common questions
What is Keith Wayne Fridel, PHD's NPI number?
Keith Wayne Fridel, PHD's National Provider Identifier (NPI) is 1215345244, issued on Jul 22, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Keith Wayne Fridel, PHD located?
The NPPES record lists a practice address at 1415 Saint Francis Ave, Shakopee, MN, 55379. Phone: (952) 993-7750. Providers update this record themselves, so call before visiting.
How can I verify Keith Wayne Fridel, PHD's license?
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. Medicare files from data.cms.gov. 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.