Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134598667 Individual Practitioner Female Practitioner

Dr. Jackie Engebretson , PhD, LP

Psychologist • Bloomington, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jackie Engebretson, PhD, LP is a certified Psychologist practicing in Bloomington, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Engebretson delivers high-quality medical care to the local community at 7920 OLD CEDAR AVE S.

Dr. Engebretson is affiliated with Allina Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

7920 Old Cedar Ave S

Bloomington, MN 554251207

Telephone 9524281800
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1013213891

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bloomington, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -7.4 yrs vs City Avg
City Avg: 19.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Bloomington, MN (1833 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Engebretson (12 Years) 12 Yrs
Bloomington Specialty Average (19.4 Years) 19.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-08-12
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP5917

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.

Psychologist - Clinical Child & Adolescent

NUCC Taxonomy Code: 103TC2200X

State License MN LP5917

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Hospital & Practice Group Affiliations

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Secondary Practice Locations

3850 Park Nicollet Blvd

St Louis Park, MN 554162527

Phone: 9529931000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Julia Reitz , AuD

Audiologist-Hearing Aid Fitter

NPI 1003066168

Doctor of Audiology

NPI 1053059972

Doctor of Medicine (M.D.)

Dr. William Shaffer , MD

Internal Medicine

NPI 1073548459

Doctor of Medicine (M.D.)

Katelynne Deal , PA-S

Physician Assistant

NPI 1104446087

PAS

Angela O'donnell , CNM, APRN

Advanced Practice Midwife

NPI 1104544659

Certified Nurse Midwife, Advanced Practice Registered Nurse

Dr. Harry Fernandes , MD

Internal Medicine

NPI 1124067319

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 12, 2022

Registered at 7920 OLD CEDAR AVE S, BLOOMINGTON, MN 554251207 (Tel: 9524281800)

📍
Updated Business Mailing Address August 12, 2022

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122629000)

NPI Profile Active September 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2015

Registered at 3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 554162527 (Tel: 9529931000)

📍
Updated Business Mailing Address September 15, 2015

Registered at 17833 COBBLESTONE WAY, EDEN PRAIRIE, MN 553472139 (Tel: 7656090888)

👤
Provider Name / Credentials Updated September 15, 2015

Recorded as JACKIE ENGEBRETSON, PHD, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2015

Psychologist (License #LP5917 in MN)

🟢
Initial NPI Registration & Enumeration September 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134598667
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2015
Last Update: August 12, 2022
Sole Proprietor: Yes

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122629000

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.