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

Walter O Bockting, PHD

Individual provider Psychologist · NPI 1104901172

Walter O Bockting, PHD is a Psychologist in Minneapolis, Minnesota. Licensed in Minnesota and New York. Registered with an NPI since 2006.

Licensed in
MN, NY
In the registry since
2006
Specialties on file
3
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

1300 S 2nd St Ste 180
Minneapolis, MN 55454-1075
Phone: (612) 625-1500
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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 020658 (NY)
Psychologist Taxonomy 103T00000X · Licence LP2505 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP2505 (MN)

Record details

NPI number1104901172
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address3989 Central Ave Ne, Suite 300, Columbia Heights, MN 55421-3900

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