Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003844929 Individual Practitioner Male Practitioner

Brian Vernon Nelson , LP, LSP

Psychologist - Cognitive & Behavioral • Wayzata, MN

Professional Overview & Biography Verified Profile Summary

Brian Nelson, LP, LSP is a registered healthcare professional specializing in Psychologist - Cognitive & Behavioral in Wayzata, MN. Practice services are available at 3305 CASCO CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3305 Casco Cir

Wayzata, MN 553919718

Telephone 9524717211
Fax 9524717211
Associated Practice Facility / Clinic
🏢 Brian V. Nelson, Lp Facility NPI 1245269232

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Wayzata, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Wayzata, MN (54 Statewide)

Telehealth Adoption Rate
0.0% 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 - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License MN LP1543

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
224750000 (MN)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2008

Registered at 3305 CASCO CIR, WAYZATA, MN 553919718 (Tel: 9524717211)

📍
Updated Business Mailing Address August 07, 2008

Registered at 3305 CASCO CIR, WAYZATA, MN 553919718 (Tel: 9523936280)

👤
Provider Name / Credentials Updated August 07, 2008

Recorded as BRIAN NELSON, LP, LSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2008

Psychologist (License #LP1543 in MN)

🟢
Initial NPI Registration & Enumeration June 29, 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: 1003844929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: August 07, 2008
Sole Proprietor: No

Mailing Address

3305 Casco Cir

Wayzata, MN 553919718

Phone: 9523936280

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.