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

Evan Stanforth, PHD, LP

Individual provider Counseling Psychologist · NPI 1245716703

Evan Stanforth, PHD, LP is a Clinical Psychologist in Woodbury, Minnesota. Qualified in 2019, 7 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2018
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

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741
Phone: (651) 714-9646
Show map & directions

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

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence LP6669 (MN)

Record details

NPI number1245716703
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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