IndividualActive
Jacquelyn Thompson, PHD. , LP., MSE
NPI 1124187935 · Clinical Psychologist · White Bear Lake, MN
Provider details
- NPI number
- 1124187935
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD. , LP., MSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP2495 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1920 Orchard Ln
White Bear Lake, MN 55110-5330
Phone: (651) 338-8702
Fax: (651) 777-3692
Street-level locationGet directions
Mailing address
1920 Orchard Ln
White Bear Lake, MN 55110-5330
Registry dates
- Enumerated
- 2006-12-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.