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

Dr. Jacquelyn K. Wiersma, PHD

Individual provider Clinical Psychologist · NPI 1386757300

Dr. Jacquelyn K. Wiersma, PHD is a Clinical Psychologist in Minnetonka, Minnesota. Qualified in 1979, 47 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
47
Licensed in
MN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

3931 Auburn Dr
Minnetonka, MN 55305-5196
Phone: (952) 938-9499
Fax: (952) 938-9499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP1583 (MN)

Record details

NPI number1386757300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESFebruary 3, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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