Jackie Niemand, LIC PSYCHOLOGIST
NPI 1417958893 · Psychologist · Stillwater, MN
Jackie Niemand, LIC PSYCHOLOGIST is a Psychologist provider in Stillwater, MN (NPI 1417958893).
Provider details
- NPI number
- 1417958893
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- LIC PSYCHOLOGIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP3518 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2021-02-10
- Certified
- 2021-02-10
Frequently asked questions
- What is Jackie Niemand's NPI number?
- Jackie Niemand's National Provider Identifier (NPI) is 1417958893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Niemand's specialty?
- Jackie Niemand is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jackie Niemand located?
- Jackie Niemand's practice location on file with NPPES is 6381 Osgood Ave N Ste 8, Stillwater, MN 55082-6182.
- What is Jackie Niemand's phone number?
- The practice phone number listed in the NPPES registry for Jackie Niemand is (651) 275-9680.
- Is Jackie Niemand's NPI active?
- Yes — Jackie Niemand's NPI (1417958893) is active in the NPPES registry as of the last update on 2021-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.