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

Dr. Justin Coulter, PSYD

Individual provider Clinical Psychologist · NPI 1992940746

Dr. Justin Coulter, PSYD is a Clinical Psychologist in Maple Grove, Minnesota. Qualified in 2011, 15 years ago. Practices with Innovative Psychological Consultants, LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2008
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

7236 Forestview Ln N
Maple Grove, MN 55369
Phone: (763) 416-4167
Fax: (763) 416-4137
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP5543 (MN)

Record details

NPI number1992940746
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedDecember 9, 2008
Last updated in NPPESApril 18, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Innovative Psychological Consultants, Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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