Healthcare Provider Details

I. General information

NPI: 1245166016
Provider Name (Legal Business Name): CHELSEA ANNE BAYLEN PHD LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 EDINA INDUSTRIAL BLVD STE 550
EDINA MN
55439-3050
US

IV. Provider business mailing address

5151 EDINA INDUSTRIAL BLVD STE 550
EDINA MN
55439-3050
US

V. Phone/Fax

Practice location:
  • Phone: 651-505-3273
  • Fax: 855-344-4350
Mailing address:
  • Phone: 651-505-3273
  • Fax: 855-344-4350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP.07878
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP7360
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: