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

Dr. Ken Ujifusa, PSYD

Individual provider Public Health & General Preventive Medicine Physician · NPI 1528265576

Dr. Ken Ujifusa, PSYD is a Public Health & General Preventive Medicine Physician in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

1665 Utica Ave S Ste 100
St Louis Park, MN 55416-3476
Phone: (952) 541-2500
Fax: (952) 541-2539
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 7187 (MN)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 166404 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 07187 (MN)

Record details

NPI number1528265576
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021