Michael Lee Kogan-White, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP2974 Issued in MN

Practice address

1600 University Ave W Ste 505
Saint Paul, MN 55104-3825

Phone

(651) 645-0980

Fax

(651) 645-3534

NPI assigned

Aug 5, 2006

Sex

Male

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

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Therapy and Recovery Center, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1700895968
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346259504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E 132ND ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373811",
            "telephone_number": "952-736-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 505",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043825",
            "telephone_number": "651-645-0980",
            "fax_number": "651-645-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN-WHITE",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evajane Koeper
• Laconia Koerner, L.AC.
• Rebecca M Koerner, MD
• Andrea Susan Kofoed, LADC
• Julie Ann Kogan-White, M.A.
• Alexandra Kohl
• Victoria Irwin Kohl, LICSW
• Susan Marie Kohler, CNP
• Deborah Marie Kohlmann, RPH
• Kristi Kohn, EDS, NCSP

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.