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

Dr. Lisa Wilke, PSYD

Individual provider Psychologist · NPI 1760927784

Dr. Lisa Wilke, PSYD is a Clinical Psychologist in Champlin, Minnesota. Qualified in 2016, 10 years ago. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
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

11269 Jefferson Hwy N
Champlin, MN 55316-3123
Phone: (763) 236-0600
Fax: (763) 236-0790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6237 (MN)

Record details

NPI number1760927784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 29, 2016
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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