Dr. Amy Moran Wheelecor, PsyD, LP
Psychologist in Blaine, MN. Individual provider (NPI-1).
NPI number1164071148
StatusActive
Last updated in NPPESNov 15, 2021
Details
- NPI
- 1164071148
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amy Moran Wheelecor
- Credential
- PsyD, LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2019
- Certification date
- Nov 15, 2021
- Last updated
- Nov 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LP6437 | MN | Yes |
Other names
- Amy Catherine Moran (Former Name)
Practice location
10729 Town Square Dr Ne Ste 120Blaine, MN 55449-7923
Phone 763-343-9010
Mailing address
10729 Town Square Dr Ne Ste 120Blaine, MN 55449-7923
Phone 763-343-9010
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychologist providers in Blaine, MN
- Kathleen G Bergman, MA LPNPI 1912068834
- Simonson Psychological ServicesNPI 1407907397
- Caroline Nicole Weiss, PSY.D, LPNPI 1235157397
- Melissa Wetterlund, MA, LP, LMFTNPI 1659413599
All 5 Psychologist providers in Blaine · All 1,032 providers in Blaine
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