Mark Kleiman, PH. D. L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5190 Issued in MN

Practice address

1400 Madison Ave Ste 628
Mankato, MN 56001-5488

Phone

(507) 779-7366

Fax

(507) 779-7367

NPI assigned

Mar 29, 2011

Last updated

Jul 21, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356630438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 TANAGER PATH",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016283",
            "telephone_number": "901-598-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 628",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015488",
            "telephone_number": "507-779-7366",
            "fax_number": "507-779-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PH. D. L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356630438",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexia King
• Heather Marie Kisor
• Andrew Paul Kitzberger
• Megan Kjolsing
• Ayla Marie Kleckner
• Katie Marie Kleinschmidt, M.S., L.M.F.T
• Deann Klinkner, CRNA
• Deborah Klinnert, LPCC, LPC
• Christina Lynn Kloepping, CRNA
• Anna L Klooster, LADC

• Clinical Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.