The Compassion Boutique PC
NPI 1457175267ActiveOrganization· Psychologist, Clinical· St Louis Park, MN
Psychologist, Clinical in St Louis Park, Minnesota, registered in NPPES in November 2024. The authorized official on file is Elizabeth Wagner, PSYD, Ceo.
Overview
| NPI | 1457175267 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2024 |
| Last updated in NPPES | Nov 9, 2024 |
| Certified by provider | Nov 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist, Clinical providers in St Louis Park
- 1477098507
- 1679968341
- 1275647604
- 1235249541
- 1841347085
- 1366622292
- 1609214311
- 1013970250
- 1508462623
- 1811265523
- 1306823794
- 1326474578