Active NPI
Kathryn Zoff Seivert PHD LP PA
- Clinical Psychologist
- Red Wing, MN
National Provider Identifier
1225196512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- MNLP0699
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Zoff-Seivert, PHD LP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Red Wing, MN
- NPI 1508920422
-
- Psychologist
- Red Wing, MN
- NPI 1083780829
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.