Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacquelyn Avery, PHD

Individual provider Clinical Psychologist · NPI 1952705170

Dr. Jacquelyn Avery, PHD is a Clinical Psychologist in Minneapolis, Minnesota. Graduated from Washington University School of Medicine in 2002, 24 years ago. Works from 2 locations. Licensed in Michigan and Minnesota.

Years since qualifying
24
Trained at
Washington University School of Medicine
Licensed in
MI, MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3333 University Ave SE
Minneapolis, MN 55414-3325
Phone: (612) 767-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3901 Beaubien St Ste 4b, Detroit, MI 48201-2119 — (313) 745-4878

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP5877 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301014810 (MI)

Record details

NPI number1952705170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 17, 2014
Last updated in NPPESJune 24, 2019
Mailing address3333 University Ave Se, Minneapolis, MN 55414-3325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated

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