Individual provider Active NPI

Tamarind Knutson, PSY.D., L.P.

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1003149717
Registry record updated Apr 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5137 Issued in MN
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

Updated by the provider on Apr 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000453 MN Practitioner - Clinical Psychologist 7416086566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP5137MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
River City Mental Health Clinic, P.a. Clinical PastSince Jan 7, 2015 Accepting new patients
Natalis Counseling and Psychology Solutions, P.a. PastSince Jun 27, 2020 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.

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

Verify at the official NPI Registry.