Active NPI
Catherine Marie Palmer, PHD LP
- Psychologist
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP4847
- Practice address
- 1406 6TH Avenue North
St Cloud Hospital
St Cloud, MN 56303-1901 - Phone
- (320) 251-2700
- Fax
- (320) 255-5806
- NPI assigned
- May 11, 2006
- Last updated
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP4847 | MN | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | MN |
Addresses
Primary practice location
1406 6TH Avenue North
St Cloud Hospital
St Cloud, MN 56303-1901
Mailing address
1406 6TH Avenue North
St Cloud Hospital
St Cloud, MN 56303-1901
Phone (320) 251-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 2ND St S
Suite 104
Waite Park, MN 56387-1367
Phone (320) 259-9375
1900 Centracare Cir
Suite 2400
Saint Cloud, MN 56303-5000
Phone (320) 252-2422
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4847 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Cloud Hospital | Current | Accepting new patients | |
| St Cloud Hospital | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients |
Locations
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
1900 Centracare Cir
Ste 1325
Saint Cloud, MN 56303
Phone (320) 255-5777
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
dba CentraCare St Cloud Hospital Adolescent Addiction Services
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
dba Extended Contract Inpt Psych Services
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CentraCare St Cloud Hospital Adolescent Addiction Services
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
dba St Cloud Hospital Behavioral Health - Sartell
- Mental Health Counselor
- Sartell, MN
- NPI 1083161814
Hospital
-
dba Recovery Plus Adult Program-St Cloud Hospital
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
dba CentraCare Wound Center
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
dba Extended Contract Inpt Psych Services
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1184674970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 6TH AVENUE NORTH",
"address_2": "ST CLOUD HOSPITAL",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563031901",
"telephone_number": "320-251-2700",
"fax_number": "320-255-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 6TH AVENUE NORTH",
"address_2": "ST CLOUD HOSPITAL",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563031901",
"telephone_number": "320-251-2700",
"fax_number": "320-255-5806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CATHERINE",
"middle_name": "MARIE",
"credential": "PHD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP4847",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.