DR. JACQUELYN AVERY PHD NPI 1952705170

NPI Information

  • NPI: 1952705170
  • Provider Name: DR. JACQUELYN AVERY, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3333 UNIVERSITY AVE SE
    MINNEAPOLIS, MN
    ZIP 55414
  • Phone: (612) 767-7222

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NPI Details

DR. Jacquelyn Avery, PHD is a clinical psychologist in Minneapolis, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Jacquelyn Avery, PHD NPI is 1952705170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN
ZIP 55414-325
Phone: (612) 767-7222

The NPI 1952705170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/17/2014 and was last updated on 6/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical6301014810MICHIGANNo
2103TC0700XPsychologistClinicalLP5877MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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