Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134550502 Individual Practitioner Female Practitioner

Dr. Crystal Ebert , PhD

Psychologist • St Louis Park, MN

Professional Overview & Biography Verified Profile Summary

Dr. Crystal Ebert, PhD is a registered healthcare professional specializing in Psychologist in St Louis Park, MN. Practice services are available at 3800 PARK NICOLLET BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3800 Park Nicollet Blvd

St Louis Park, MN 554162527

Telephone 9529932498
Fax 9529932505
Associated Practice Facility / Clinic
🏢 Park Nicollet Clinic Facility NPI 1780621904

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in St Louis Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
82 Specialists

Practicing in St Louis Park, MN (1833 Statewide)

Telehealth Adoption Rate
29.3% 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

CMS Verified: 2023-12-21
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP6293

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

NUCC Taxonomy Code: 103TC0700X

State License VA 0810004913

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Practice Locations

210 9th St Se

Rochester, MN 559046756

Phone: 5072872766

Practice Associates & Co-Workers

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

25 Associated Practitioners
Stephen Olsen

Psychologist

NPI 1093792038
Lainey Mannix , MSW, LICSW

Social Worker - Clinical

NPI 1124738299

Master of Social Work, Licensed Independent Clinical Social Worker

Dr. Jennifer Lessin , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1215912530

Doctor of Medicine (M.D.)

Lauren Klaers , LMFT

Marriage & Family Therapist

NPI 1225429046

Licensed Marriage and Family Therapist

Dr. Stephen Bonfilio , PhD

Psychologist - Clinical

NPI 1265419485

Doctor of Philosophy (Ph.D.)

Thomas Scott

Pediatrics

NPI 1275510877

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 21, 2023

Registered at 3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 554162527 (Tel: 9529932498)

📍
Updated Business Mailing Address December 21, 2023

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2023

Psychologist (License #0810004913 in VA)

📍
Updated Practice Location November 09, 2018

Registered at 210 9TH ST SE, ROCHESTER, MN 559046756 (Tel: 5072872766)

📍
Updated Business Mailing Address November 09, 2018

Registered at 210 9TH ST SE, ROCHESTER, MN 559046756 (Tel: 5072872766)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2018

Psychologist (License #LP6293 in MN)

NPI Profile Active December 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2013

Registered at 2924 BROOK RD, RICHMOND, VA 232201215 (Tel: 8042285818)

📍
Updated Business Mailing Address December 10, 2013

Registered at 2924 BROOK RD, RICHMOND, VA 232201215

👤
Provider Name / Credentials Updated December 10, 2013

Recorded as CRYSTAL EBERT, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2013

Psychologist (License #0810004913 in VA)

🟢
Initial NPI Registration & Enumeration December 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134550502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2013
Last Update: December 21, 2023
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.