Kathleen J. Feil, PHD, LP, PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4051 Issued in MN

Legal business name

KATHLEEN J. FEIL, PHD, LP, PLC

Practice address

189 Egret LN
Marine on Saint Croix, MN 55047-8641

Phone

(651) 308-5581

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Jean Feil, PHDNPI 1629076047

Title

Owner

Phone

(651) 308-5581

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Jean Feil, PHD, LP

  • Clinical Psychologist
  • Marine on Saint Croix, MN
  • NPI 1629076047
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1346265279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550470163",
            "telephone_number": "651-308-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 EGRET LN",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550478641",
            "telephone_number": "651-308-5581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Main St S",
            "address_2": "Sutie 270",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550825195",
            "country_code": "US",
            "telephone_number": "651-308-5581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHLEEN J. FEIL, PHD, LP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "FEIL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-308-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "097L7FE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "97480",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluestem Osteopathy LLC
• Kathleen Jean Feil, PHD, LP
• Marine Area Community School
• Marine Village School
• Kathryn Ocanas
• Madeline Rose Springer, OTR

• Clinical Psychologist in Marine on Saint Croix, MN
• Providers in Marine on Saint Croix, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.