NPIMap

Organization Active NPI

Cloquet Psychological

  • Community/Behavioral Health Agency
  • Cloquet, MN
National Provider Identifier
1134443393
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP4209 Issued in MN
Legal business name
CLOQUET PSYCHOLOGICAL
Practice address
605 Kallstrom Rd
Cloquet, MN 55720-9415
Phone
(218) 940-5259
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Dr. Caroline Nelson, PSYDLPNPI 1548356611
Title
Licensed Psychologist
Phone
(218) 940-5259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LP4209 MN Primary

Addresses

Primary practice location

605 Kallstrom Rd
Cloquet, MN 55720-9415

Mailing address

605 Kallstrom Rd
Cloquet, MN 55720-9415
Phone (218) 940-5259

National Provider Directory

National Provider Directory
Tax ID family
Cloquet Psychological2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1134443393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 KALLSTROM RD",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557209415",
            "telephone_number": "218-940-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 KALLSTROM RD",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557209415",
            "telephone_number": "218-940-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOQUET PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "218-940-5259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYDLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP4209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.