Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588014054 Individual Practitioner Female Practitioner

Dr. Mara Rose Dockendorf , PsyD

Psychologist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mara Dockendorf, PsyD is a registered healthcare professional specializing in Psychologist in Minneapolis, MN. Practice services are available at 310 CLIFTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 Clifton Ave

Minneapolis, MN 554033218

Telephone 6122238898
Fax 6122238899
Associated Practice Facility / Clinic
🏢 Care Clinics, Llc Facility NPI 1851716245

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
352 Specialists

Practicing in Minneapolis, MN (1833 Statewide)

Telehealth Adoption Rate
12.8% 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 LP6445

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.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MN CC01251

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jennifer Gozy , PsyD, LP

Psychologist - Clinical

NPI 1003141979

Doctor of Psychology (Psy.D.), Licensed Psychologist

Courtney Hennis , LPC

Counselor - Professional

NPI 1003525411

Licensed Professional Counselor

Gabrielle Geary , LPCC

Counselor - Professional

NPI 1003596552

Licensed Professional Clinical Counselor

Heather Craig

Counselor

NPI 1013757889
NPI 1023331626
NPI 1023761772

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location September 16, 2019

Registered at 310 CLIFTON AVE, MINNEAPOLIS, MN 554033218 (Tel: 6122238898)

📍
Updated Business Mailing Address September 16, 2019

Registered at 310 CLIFTON AVE, MINNEAPOLIS, MN 554033218 (Tel: 6122238898)

👤
Provider Name / Credentials Updated September 16, 2019

Recorded as MARA DOCKENDORF, PSY.D.

NPI Profile Active April 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2017

Registered at 1801 AMERICAN BLVD E, SUITE 1, BLOOMINGTON, MN 554251232 (Tel: 9527672267)

📍
Updated Business Mailing Address April 06, 2017

Registered at 1801 AMERICAN BLVD E, SUITE 1, BLOOMINGTON, MN 554251232 (Tel: 9527672267)

👤
Provider Name / Credentials Updated April 06, 2017

Recorded as MARA DOCKENDORF, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2017

Counselor (License #CC01251 in MN)

NPI Profile Active June 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2016

Registered at 1801 AMERICAN BLVD E, SUITE 1, BLOOMINGTON, MN 554251232 (Tel: 9527672267)

📍
Updated Business Mailing Address June 15, 2016

Registered at 1801 AMERICAN BLVD E, SUITE 1, BLOOMINGTON, MN 554251232 (Tel: 9527672267)

👤
Provider Name / Credentials Updated June 15, 2016

Recorded as MARA CLEMENTS, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2016

Counselor (License #CC01251 in MN)

🟢
Initial NPI Registration & Enumeration June 15, 2016

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: 1588014054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2016
Last Update: September 16, 2019
Sole Proprietor: No

Mailing Address

310 Clifton Ave

Minneapolis, MN 554033218

Phone: 6122238898

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.