Organization Active NPI

Kathryn Zoff Seivert PHD LP PA

  • Clinical Psychologist
  • Red Wing, MN
National Provider Identifier
1225196512
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
MNLP0699 Issued in MN
Legal business name
KATHRYN ZOFF SEIVERT PHD LP PA
Practice address
2000 Old West Main
Suite 329
Red Wing, MN 55066-1993
Phone
(651) 388-6459
Fax
(952) 241-9225
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Kathryn Zoff-Seivert, PHD LPNPI 1508920422
Title
Lic Psychologist
Phone
(651) 388-6459

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X MNLP0699 MN Primary

Addresses

Primary practice location

2000 Old West Main
Suite 329
Red Wing, MN 55066-1993

Mailing address

854 So. Robert St.
St. Paul, MN 55107-3258
Phone (651) 388-6459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000033 MN Part B Supplier - Clinic/Group Practice 0840392007 Receives reassigned benefits from 1 practitioner
Practice locations: Red Wing, MN

National Provider Directory

National Provider Directory

Locations

2000 Old West Main St
Ste 329
Red Wing, MN 55066
Phone (651) 388-6459

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1225196512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 SO. ROBERT ST.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551073258",
            "telephone_number": "651-388-6459",
            "fax_number": "952-241-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST MAIN",
            "address_2": "SUITE 329",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661993",
            "telephone_number": "651-388-6459",
            "fax_number": "952-241-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN ZOFF SEIVERT PHD LP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "ZOFF-SEIVERT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "LIC PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-388-6459",
        "authorized_official_credential": "PHD LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "MNLP0699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.