Rheanna Marie Kado-Hogan, PH.D., LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 5521 Issued in MN

Practice address

701 Park Ave Ste S1.260
Minneapolis, MN 55415-1623

Phone

(612) 347-2218

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rheanna Marie Kado Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1093062788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE STE S1.260",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-347-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE STE S1.260",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-347-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADO-HOGAN",
        "first_name": "RHEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 5521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHEANNA",
            "last_name": "KADO",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D., LP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ayesha Kadir, MD
• Fatima Ahmed Kadir
• Noor Abdullahi Kadir
• Jane Carleen Kadlec, OTR/L
• Tyler Kadlec, LGSW
• Maria Kaefer, MD
• Maria Kaelberer
• Sana Kagalwalla
• Kahak MN Inc
• David Henry Kahat, MD

• Clinical Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.