Healthcare Provider Details

I. General information

NPI: 1225960784
Provider Name (Legal Business Name): PEAKE PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 METRO BLVD STE 390
EDINA MN
55439-2358
US

IV. Provider business mailing address

4221 W 70TH ST
MINNEAPOLIS MN
55435-4105
US

V. Phone/Fax

Practice location:
  • Phone: 952-955-4714
  • Fax:
Mailing address:
  • Phone: 443-570-6473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE STEWART
Title or Position: OWNER, PSYCHOLOGIST
Credential: PSYD LP
Phone: 443-570-6473