Organization Active NPI

Charles Kaltenberg L.L.C.

  • Community/Behavioral Health Agency
  • Oakdale, MN
National Provider Identifier
1164067633
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHARLES KALTENBERG L.L.C.
Practice address
7200 Hudson Blvd N Ste 107C
Oakdale, MN 55128-6301
Phone
(612) 584-9071
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Charles Kaltenberg, LMFTNPI 1205352606
Title
Psychotherapist
Phone
(612) 584-9071

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 Primary

Addresses

Primary practice location

7200 Hudson Blvd N Ste 107C
Oakdale, MN 55128-6301

Mailing address

7200 Hudson Blvd N Ste 107C
Oakdale, MN 55128-6301
Phone (612) 584-9071

Other identifiers 1

IdentifierTypeStateIssuer
1205352606OtherMNNPI 1

National Provider Directory

National Provider Directory

Locations

7200 Hudson Blvd N
Ste 107C
Oakdale, MN 55128
Phone (612) 584-9071

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": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1164067633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 HUDSON BLVD N STE 107C",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286301",
            "telephone_number": "612-584-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HUDSON BLVD N STE 107C",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286301",
            "telephone_number": "612-584-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES KALTENBERG L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "KALTENBERG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "612-584-9071",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1205352606",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.