Active NPI
Tamarind Knutson, PSY.D., L.P.
- Clinical Psychologist
- Saint Paul, MN
National Provider Identifier
1003149717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP5137
- Practice address
- 1360 Energy Park Dr Ste 340
Saint Paul, MN 55108-5298 - Phone
- (651) 646-8985
- NPI assigned
- Sep 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP5137 | MN | Primary |
Addresses
Primary practice location
1360 Energy Park Dr Ste 340
Saint Paul, MN 55108-5298
Mailing address
PO Box 120836
Saint Paul, MN 55112-0025
Phone (651) 646-8985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5137 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Mental Health Clinic, P.a. | Clinical | Past | Accepting new patients |
| Natalis Counseling and Psychology Solutions, P.a. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Roseville, MN
- NPI 1760815229
-
- Psychologist
- Saint Paul, MN
- NPI 1447369673
-
- Clinical Psychologist
- Saint Paul, MN
- NPI 1558348078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270944000000",
"number": "1003149717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120836",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551120025",
"telephone_number": "651-646-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 ENERGY PARK DR STE 340",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085298",
"telephone_number": "651-646-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "TAMARIND",
"name_prefix": "Dr.",
"credential": "PSY.D., L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-13",
"last_updated": "2010-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP5137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.