Active NPI
Piper Suzanne Kalos, PHD,, LP
- Clinical Psychologist
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP5617
- Practice address
- 5775 Wayzata Blvd
Suite 255
St Louis Park, MN 55416-1222 - Phone
- (612) 273-8710
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- No
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 | LP5617 | MN | Primary |
Addresses
Primary practice location
5775 Wayzata Blvd
Suite 255
St Louis Park, MN 55416-1222
Mailing address
5775 Wayzata Blvd
Suite 255
St Louis Park, MN 55416-1222
Phone (612) 273-8710
Other practice location 1
1401 East 1st Street
Duluth, MN 55805-2407
Phone (218) 728-4491
Other practice location 2
40 11th St
Cloquet, MN 55720-1817
Phone (218) 879-4559
Other practice location 3
810 E 4th St
Duluth, MN 55805-2147
Phone (218) 624-5683
Other practice location 4
325 11th Ave
Two Harbors, MN 55616-1300
Phone (218) 834-5520
Other names 1
- Piper Suzanne Meyer-Kalos
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5775 Wayzata Blvd
Suite 255
St Louis Park, MN 55416-1275
Phone (612) 273-8710
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.67 of 100
- Quality
- 67.02
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5617 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Brightwater Health Dba Human Development Center | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Brightwater Health Dba Human Development Center | Past | Accepting new patients |
Locations
40 11th St
Cloquet, MN 55720
Phone (218) 879-4559
1401 E 1st St
Duluth, MN 55805
Phone (218) 728-4491
810 E 4th St
Duluth, MN 55805
Phone (218) 728-4491
120 W 2nd St
Duluth, MN 55802
Phone (218) 728-4491
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
2450 Riverside Ave
Fl 2A
Minneapolis, MN 55454
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
5775 Wayzata Blvd
Ste 255
St Louis Park, MN 55416
Phone (612) 273-8710
629 1st Ave
Two Harbors, MN 55616
Phone (218) 834-5520
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Duluth, MN
- NPI 1194790733
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1952546061
-
- Community/Behavioral Health Agency
- Cloquet, MN
- NPI 1114048527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1013241058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD",
"address_2": "SUITE 255",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222",
"telephone_number": "612-273-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD",
"address_2": "SUITE 255",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222",
"telephone_number": "612-273-8710"
}
],
"practiceLocations": [
{
"address_1": "1401 East 1st Street",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558052407",
"country_code": "US",
"telephone_number": "218-728-4491",
"fax_number": "218-302-8698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 11th St",
"address_purpose": "LOCATION",
"city": "Cloquet",
"state": "MN",
"postal_code": "557201817",
"country_code": "US",
"telephone_number": "218-879-4559",
"fax_number": "218-879-0282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 E 4th St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558052147",
"country_code": "US",
"telephone_number": "218-624-5683",
"fax_number": "218-624-5736",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 11th Ave",
"address_purpose": "LOCATION",
"city": "Two Harbors",
"state": "MN",
"postal_code": "556161300",
"country_code": "US",
"telephone_number": "218-834-5520",
"fax_number": "218-834-4264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALOS",
"first_name": "PIPER",
"middle_name": "SUZANNE",
"credential": "PHD,, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP5617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PIPER",
"last_name": "MEYER-KALOS",
"middle_name": "SUZANNE",
"credential": "PH.D, LP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.