Active NPI
Karla Lynn De Beck, M.D.
- Psychiatry Physician
- Roseville, MN
National Provider Identifier
1063503159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 83569
- Practice address
- 2345 Rice St Ste 230
Roseville, MN 55113-3769 - Phone
- (800) 997-6196
- Fax
- (833) 523-9924
- NPI assigned
- Sep 27, 2006
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TP936 | KY | |
| Psychiatry Physician | 2084P0800X | 2020004200 | MO | |
| Psychiatry Physician | 2084P0800X | E-12911 | AR | |
| Forensic Psychiatry Physician | 2084F0202X | 83569 | SC | |
| Psychiatry Physician | 2084P0800X | DR.0063651 | CO | |
| Psychiatry Physician | 2084P0800X | MD067803L | PA | |
| Psychiatry Physician | 2084P0800X | 9500056 | NC | |
| Psychiatry Physician | 2084P0800X | 4301501405 | MI | |
| Psychiatry Physician | 2084P0800X | 83569 | SC | Primary |
Addresses
Primary practice location
2345 Rice St Ste 230
Roseville, MN 55113-3769
Mailing address
1 California St Ste 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902285 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83569 | SC | MD | Forensic Psychiatry Physician |
| E-12911 | AR | MD | Psychiatry Physician |
| DR.0063651 | CO | MD | Psychiatry Physician |
| TP936 | KY | MD | Psychiatry Physician |
| 4301501405 | MI | MD | Psychiatry Physician |
| 2020004200 | MO | MD | Psychiatry Physician |
| MD067803L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1063503159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CALIFORNIA ST STE 2300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115424",
"telephone_number": "800-997-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 RICE ST STE 230",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133769",
"telephone_number": "800-997-6196",
"fax_number": "833-523-9924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BECK",
"first_name": "KARLA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2025-07-10",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "TP936",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2020004200",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-12911",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "SC",
"license": "83569",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0063651",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD067803L",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "9500056",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301501405",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "83569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902285",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.