Kathleen M Pfaffinger, PHD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3258 Issued in MN

Practice address

570 Asbury St
Suite 103
Saint Paul, MN 55104-1849

Phone

(651) 646-1777

Fax

(651) 646-1774

NPI assigned

Feb 7, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104898642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 MARSHALL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021721",
            "telephone_number": "651-221-1963",
            "fax_number": "651-221-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ASBURY ST",
            "address_2": "SUITE 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041849",
            "telephone_number": "651-646-1777",
            "fax_number": "651-646-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFFINGER",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "PHD  LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura K Petry, CPNP
• Carrie Leigh Pettey, MD
• Robin Diane Pettit, RN,PHN
• Anthony J Pfaff, MD
• Caitlin Ariel Pfaff, LADC
• Ryan Pfannenstein, DPM
• Branden James Pfefferkorn, MD, MPH
• Linden Douglas Pfeiffer, DC
• Zachary Walker Pflipsen, MA, LADC
• Teena Pflum

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.