Kara Marie Brandell, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

LP 5300 Issued in MN

Practice address

8455 Flying Cloud Dr
Suite 205
Eden Prairie, MN 55344-3974

Phone

(952) 993-2504

NPI assigned

Mar 26, 2010

Last updated

Nov 15, 2010By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1184948606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LINDSEY LN",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560112294",
            "telephone_number": "952-210-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 FLYING CLOUD DR",
            "address_2": "SUITE 205",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443974",
            "telephone_number": "952-993-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDELL",
        "first_name": "KARA",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP 5300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E Bozoian, DMD
• Christina Marie Braatz, MSN, RN, CNP
• Stace Todd Bradshaw, M.D.
• Trevor M Braeger
• Brain Health Group LLC
• Allison Rose-Lofgren Brandts
• Michael Branitski, D.C.
• Marjorie Marie Branum
• Sidney Brastad, PHARMD
• Hailey Breeggemann

• Clinical Child & Adolescent Psychologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Clinical Child & Adolescent Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.