Concord Psychotherapy Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONCORD PSYCHOTHERAPY INC.

Practice address

4749 Chicago Ave Ste 1B
Minneapolis, MN 55407-4181

Phone

(425) 971-8596

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Katharine Kaftanski, MSW, LICSWNPI 1679822258

Title

Owner

Phone

(612) 445-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katharine Kaftanski, M.S.W.

  • Clinical Social Worker
  • Saint Louis Park, MN
  • NPI 1679822258
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1093312985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 CHICAGO AVE STE 1B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074181",
            "telephone_number": "612-445-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 CHICAGO AVE STE 1B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074181",
            "telephone_number": "425-971-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "KAFTANSKI",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-445-8500",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly A Compton, APRN, CNP
• Gary Steven Compton, L.AC.
• Randall Conaway
• Lui Michelle Concepcion Seda
• Ansley Corinne Semack Conchola, MD, PHD
• Amber Rebecca Condon, OT
• Christine Conelea
• Kent Alan Confeld, D.D.S
• Dennis L Confer, M.D.
• Allyson Marie Conger

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.