Shannon Thomas Woulfe, PH.D., LP
NPI 1225593825ActiveIndividual· Psychologist, Clinical· Fridley, MN
Psychologist, Clinical (PH.D., LP) in Fridley, Minnesota, trained at University of North Dakota School of Medicine (class of 2003). Medicare paid $5,389 for services to 86 patients in 2024.
Overview
| NPI | 1225593825 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., LP |
| Sole proprietor | No |
| NPI issued | Feb 7, 2019 |
| Last updated in NPPES | Mar 11, 2021 |
| Certified by provider | Mar 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 4673 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 273 across 5 procedure codes |
| Paid by Medicare | $5,389 |
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
Hospital affiliation
- Mercy HospitalCoon Rapids, MN
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