Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215345244 Individual Practitioner Male Practitioner

Dr. Keith Wayne Fridel , PhD

Psychologist • Shakopee, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Keith Fridel, PhD is a certified Psychologist practicing in Shakopee, MN. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Fridel delivers high-quality medical care to the local community at 1415 SAINT FRANCIS AVE.

Dr. Fridel is affiliated with Park Nicollet Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation, psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1415 Saint Francis Ave

Shakopee, MN 553793374

Telephone 9529937750
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Shakopee, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -10.2 yrs vs City Avg
City Avg: 25.2 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Shakopee, MN (1833 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fridel (15 Years) 15 Yrs
Shakopee Specialty Average (25.2 Years) 25.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
46 46 $688.50 $167.25
90832 Psychotherapy, 30 minutes
43 39 $297.50 $76.00

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071008852

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 State License
071008852 (IL)

Hospital & Practice Group Affiliations

Park Nicollet Clinic

1415 Saint Francis Ave, Shakopee, MN 553793374

Phone: 9529937750

Secondary Practice Locations

10640 165th St

Orland Park, IL 604678734

Phone: 7083640261

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Dr. Ann O'donnell , MD

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Doctor of Medicine (M.D.)

Bridget Holbrook , PA-C

Physician Assistant

NPI 1023490174

Physician Assistant (Certified)

Dr. Trevor Busch , MD

Family Medicine

NPI 1043297021

Doctor of Medicine (M.D.)

NPI 1043531437

Doctor of Medicine (M.D.)

Craig Stibal

Podiatrist - Primary Podiatric Medicine

NPI 1104803881

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active September 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2017

Registered at 1415 SAINT FRANCIS AVE, SHAKOPEE, MN 553793374 (Tel: 9529937750)

📍
Updated Business Mailing Address September 05, 2017

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

👤
Provider Name / Credentials Updated September 05, 2017

Recorded as KEITH FRIDEL, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2017

Psychologist (License #071008852 in IL)

NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2014

Registered at 10640 165TH ST, ORLAND PARK, IL 604678734 (Tel: 7083640261)

📍
Updated Business Mailing Address July 23, 2014

Registered at 10640 165TH ST, ORLAND PARK, IL 604678734 (Tel: 7083640261)

👤
Provider Name / Credentials Updated July 23, 2014

Recorded as KEITH FRIDEL, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Psychologist (License #071008852 in IL)

🟢
Initial NPI Registration & Enumeration July 22, 2014

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: 1215345244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2014
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

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.