IndividualActive
Jenna Edlund, PH.D
NPI 1164943601 · Clinical Child & Adolescent Psychologist · Waconia, MN
Provider details
- NPI number
- 1164943601
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP6329 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
9352 Oak Ave
Waconia, MN 55387-9422
Phone: (952) 955-4714
Street-level locationGet directions
Mailing address
9352 Oak Ave
Waconia, MN 55387-9422
Additional practice locations (1)
- 4500 Park Glen Rd Ste 450Saint Louis Park, MN 55416-5190Phone: (952) 444-9744
Registry dates
- Enumerated
- 2017-07-06
- Last updated
- 2018-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.