Organization Active NPI

Kathrine Brathen Psychology, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1275817553
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP5212 Issued in MN
Legal business name
KATHRINE BRATHEN PSYCHOLOGY, LLC
Practice address
790 Cleveland Ave S
Saint Paul, MN 55116-3858
Phone
(651) 303-4734
Fax
(651) 690-0968
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Kathrine Linn Brathen, MA, LP
Title
Owner
Phone
(651) 303-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LP5212 MN Primary

Addresses

Primary practice location

790 Cleveland Ave S
Saint Paul, MN 55116-3858

Mailing address

1335 Conservatory CT
Saint Paul, MN 55117-4589

National Provider Directory

National Provider Directory

Locations

790 Cleveland Ave S
Saint Paul, MN 55116
Phone (651) 303-4734

Practitioners & affiliated clinicians

Practitioners 1

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": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1275817553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CONSERVATORY CT",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163858",
            "telephone_number": "651-303-4734",
            "fax_number": "651-690-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRINE BRATHEN PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BRATHEN",
        "authorized_official_first_name": "KATHRINE",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-303-4734",
        "authorized_official_credential": "MA, LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.