Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Micah Prairie Chicken, PHD, LP

Individual provider Clinical Psychologist · NPI 1518640473

Dr. Micah Prairie Chicken, PHD, LP is a Clinical Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
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

2101 Minnehaha Ave
Minneapolis, MN 55404-3107
Phone: (612) 721-9877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6960 (MN)

Record details

NPI number1518640473
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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