Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205868635 Individual Practitioner Female Practitioner

Ellen Chazdon , PSY D LP

Psychologist • Edina, MN

Professional Overview & Biography Verified Profile Summary

Ellen Chazdon, PSY D LP is a registered healthcare professional specializing in Psychologist in Edina, MN. Practice services are available at 5100 EDEN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5100 Eden Ave
Suite 117

Edina, MN 554362337

Telephone 9529209304
Fax 9529209304
Associated Practice Facility / Clinic
🏢 Fabulous Families Facility NPI 1407217144

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Edina, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
68 Specialists

Practicing in Edina, MN (1833 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN 3170

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
76D36BR (MN)
Commercial Insurance / Payer ID Definity
24725 (MN)
Commercial Insurance / Payer ID Ubh
6178275
Commercial Insurance / Payer ID Aetna
7954181 (MN)
Commercial Insurance / Payer ID Ucare
108515 (MN)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Steven Maroney , DDS

Dentist - General Practice

NPI 1003136003

Doctor of Dental Surgery

Robert Bodin

Dentist - General Practice

NPI 1033109061
Dr. Mary Kenning , PhD

Psychologist - Forensic

NPI 1043660517

Doctor of Philosophy (Ph.D.)

Linda Pavic , LICSW

Social Worker - Clinical

NPI 1184741472

Licensed Independent Clinical Social Worker

Jan Schwartz , MALP LICSW

Social Worker - Clinical

NPI 1710054325

MALPLICSW

NPI 1861472276

Master of Social Work, Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5100 EDEN AVE, SUITE 117, EDINA, MN 554362337 (Tel: 9529209304)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5100 EDEN AVE, SUITE 117, EDINA, MN 554362337 (Tel: 9529209304)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELLEN CHAZDON, PSY D LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #3170 in MN)

🟢
Initial NPI Registration & Enumeration July 07, 2006

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: 1205868635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5100 Eden Ave, Suite 117

Edina, MN 554362337

Phone: 9529209304

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.