Organization Active NPI

Kathleen a Daly Ma LP PC

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1366492449
Registry record updated Oct 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP3213 Issued in MN
Legal business name
KATHLEEN A DALY MA LP PC
Practice address
3005 James Ave S
# 300
Minneapolis, MN 55408-2589
Phone
(612) 928-9021
Fax
(612) 920-3680
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2009

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

Authorized official

Name
Ms. Kathleen A Daly, M.A., L.P.NPI 1093421638
Title
Psychologist/Corporate President
Phone
(612) 928-9021

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP3213 MN Primary

Addresses

Primary practice location

3005 James Ave S
# 300
Minneapolis, MN 55408-2589

Mailing address

3005 James Ave S
# 300
Minneapolis, MN 55408-2589
Phone (612) 928-9021

Other names 1

  • Kate Daly MA LP Other name

National Provider Directory

National Provider Directory

Locations

3005 James Ave S
Ste 300
Minneapolis, MN 55408
Phone (612) 619-2878

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254614400000",
    "number": "1366492449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 JAMES AVE S",
            "address_2": "# 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082589",
            "telephone_number": "612-928-9021",
            "fax_number": "612-920-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 JAMES AVE S",
            "address_2": "# 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082589",
            "telephone_number": "612-928-9021",
            "fax_number": "612-920-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A DALY MA LP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-10-04",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "612-928-9021",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A.,  L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kate Daly MA LP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2009; 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.