OrganizationActive
Portage Psychology PA
NPI 1245975010 · Psychologist · Eden Prairie, MN
Provider details
- NPI number
- 1245975010
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anna Krull, Vice-President(612) 986-3333
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
10125 Crosstown Cir Ste 110
Eden Prairie, MN 55344-3316
Phone: (612) 688-5933
Fax: (612) 500-4607
Street-level locationGet directions
Mailing address
10125 Crosstown Cir Ste 110
Eden Prairie, MN 55344-3316
Registry dates
- Enumerated
- 2022-05-04
- Last updated
- 2022-05-04
- Certified
- 2022-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.