Dr. Keith Wayne Fridel is a Shakopee, Minnesota based psychologist with 14 years of experience in General Psychology. He completed his graduation in 2011. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Keith Wayne Fridel is 071008852 for General Psychology in Illinois. His current practice location is 1415 Saint Francis Ave, Shakopee. Patients can reach him at 952-993-7750. Dr. Keith Wayne Fridel is PHD in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1215345244.
Dr. Keith Wayne Fridel is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Keith Wayne Fridel speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Keith Wayne Fridel |
| Specialization: | General Psychology |
| Gender: | Male |
| Credentials: | PHD |
| Experience: | 14+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2011 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1415 Saint Francis Ave, Shakopee,
Minnesota, 55379-3374 |
| Phone: | 952-993-7750 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2466498431 |
| Enrollment ID: | I20170923000058 |
| NPI Number: | 1215345244 |
| NPI Enumeration Date: | 22 Jul, 2014 |
| NPI Last Update On: | 17 Mar, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keith Wayne Fridel are as mentioned below.
| License Number | Specialization | State | Status | |
| 071008852 | General Psychology | Illinois | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (240053) | Saint louis park, MN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Keith Wayne Fridel is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Park Nicollet Clinic (7911819438) | 1391 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Keith Wayne Fridel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 071008852 | Other | Illinois | STATE LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Keith Wayne Fridel
8170 33rd Ave S # Ms 21110q,
Bloomington, Minnesota |
| Zip: | 55425-4516 |
Patients can reach Dr. Keith Wayne Fridel at
1415 Saint Francis Ave, Shakopee, Minnesota or can
call to book an appointment on 952-993-7750.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.