Jeffry Penwarden, PHD, LP
NPI 1871544478 · Clinical Psychologist · Forest Lake, MN
Jeffry Penwarden, PHD, LP is a Clinical Psychologist provider in Forest Lake, MN (NPI 1871544478).
Provider details
- NPI number
- 1871544478
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Male
- License
- LP2545 (MN)
Specialties & taxonomies
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
- 2006-05-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jeffry Penwarden's NPI number?
- Jeffry Penwarden's National Provider Identifier (NPI) is 1871544478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffry Penwarden's specialty?
- Jeffry Penwarden is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jeffry Penwarden located?
- Jeffry Penwarden's practice location on file with NPPES is 1540 Lake St S, Forest Lake, MN 55025-2628.
- What is Jeffry Penwarden's phone number?
- The practice phone number listed in the NPPES registry for Jeffry Penwarden is (651) 464-7100.
- Is Jeffry Penwarden's NPI active?
- Yes — Jeffry Penwarden's NPI (1871544478) is active in the NPPES registry as of the last update on 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.