Individual provider Active NPI

Kirsten L Burns, PSYD

  • Clinical Psychologist
  • Golden Valley, MN
National Provider Identifier
1184856593
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP6022 Issued in MN
Practice address
1405 Lilac Dr N Ste 1501
Golden Valley, MN 55422-4535
Phone
(763) 525-1746
NPI assigned
Aug 18, 2009
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23923 CA
Clinical Psychologist 103TC0700X LP6022 MN Primary

Addresses

Primary practice location

1405 Lilac Dr N Ste 1501
Golden Valley, MN 55422-4535

Mailing address

1405 Lilac Dr N Ste 1501
Golden Valley, MN 55422-4535

Other practice location 1

2025 Morse Avenue
The Permanente Medical Group, Inc., Dept. of Psychiatry
Sacramento, CA 95825-2115
Phone (916) 973-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23923CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Doctor on Demand Professionals P C CurrentSince Apr 8, 2024 Accepting new patients
Doctor on Demand Professionals of California CurrentSince Mar 30, 2021 Accepting new patients
Fairview Express Care CurrentSince Apr 6, 2020 Accepting new patients
Fairview Health Services CurrentSince Apr 6, 2020 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

1405 Lilac Dr N
Ste 151
Minneapolis, MN 55422
Phone (763) 525-9919

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2345 Rice St
Ste 230
Roseville, MN 55113
Phone (612) 317-3000

Interoperability endpoints

  • Direct secure messaging: kirsten.burns.1@30520.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1184856593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 1501",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 1501",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "763-525-1746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Morse Avenue",
            "address_2": "The Permanente Medical Group, Inc., Dept. of Psychiatry",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958252115",
            "country_code": "US",
            "telephone_number": "916-973-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KIRSTEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23923",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.