Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164071148 Individual Practitioner Female Practitioner

Dr. Amy Moran Wheelecor , PsyD, LP

Psychologist • Blaine, MN

Professional Overview & Biography Verified Profile Summary

Dr. Amy Wheelecor, PsyD, LP is a certified Psychologist practicing in Blaine, MN. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Wheelecor delivers high-quality medical care to the local community at 10729 TOWN SQUARE DR NE STE 120.

Dr. Wheelecor is affiliated with Susan Borden Psych and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

10729 Town Square Dr Ne Ste 120

Blaine, MN 554497923

Telephone 7633439010

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Blaine, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -6.5 yrs vs City Avg
City Avg: 16.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Blaine, MN (1833 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wheelecor (10 Years) 10 Yrs
Blaine Specialty Average (16.5 Years) 16.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-11-15
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP6437

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

Susan Borden Psych

2303 Wycliff St, Saint Paul, MN 551141272

Phone: 6124240434

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Mary Keller

Counselor - Addiction (Substance Use Disorder)

NPI 1104646454
Taylor Vacca , MA, BS

Counselor - Professional

NPI 1164007282

Master of Arts, Bachelor of Science

Abigail Christensen , MSN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1184284366

Master of Science in Nursing

Tanager Polowchak , MA, LPCC

Counselor - Professional

NPI 1336418730

Master of Arts, Licensed Professional Clinical Counselor

Andrea Jegede

Counselor - Mental Health

NPI 1396578712
Justin Funder

Counselor - Mental Health

NPI 1447196829

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 15, 2021

Registered at 10729 TOWN SQUARE DR NE STE 120, BLAINE, MN 554497923 (Tel: 7633439010)

📍
Updated Business Mailing Address November 15, 2021

Registered at 10729 TOWN SQUARE DR NE STE 120, BLAINE, MN 554497923 (Tel: 7633439010)

👤
Provider Name / Credentials Updated November 15, 2021

Recorded as AMY WHEELECOR, PSYD, LP

NPI Profile Active September 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2019

Registered at ACACIA COUNSELING & WELLNESS, 2724 UNIVERSITY AVE., UNIT B, MINNEAPOLIS, MN 55414 (Tel: 6122991090)

📍
Updated Business Mailing Address September 11, 2019

Registered at 3539 CENTRAL AVE NE, MINNEAPOLIS, MN 554181240 (Tel: 6129100057)

👤
Provider Name / Credentials Updated September 11, 2019

Recorded as AMY MORAN, PSYD, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2019

Psychologist (License #LP6437 in MN)

🟢
Initial NPI Registration & Enumeration September 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Amy Wheelecor. Be the first to share your experience!

Sign in to leave a review for Dr. Amy Wheelecor

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164071148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2019
Last Update: November 15, 2021
Sole Proprietor: No

Mailing Address

10729 Town Square Dr Ne Ste 120

Blaine, MN 554497923

Phone: 7633439010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.