Individual provider Active NPI

Lorna Kay Siefke-Harbor, MA LICENSED PSYCHOLO

  • Psychologist
  • Austin, MN
National Provider Identifier
1396059242
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5198 Issued in MN
Practice address
902 19TH Ave SW
Austin, MN 55912
Phone
(507) 319-3198
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP5198 MN Primary

Addresses

Primary practice location

902 19TH Ave SW
Austin, MN 55912

Mailing address

902 19TH Ave SW
Austin, MN 55912
Phone (507) 319-3198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LP5198MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1396059242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 19TH AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "55912",
            "telephone_number": "507-319-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 19TH AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "55912",
            "telephone_number": "507-319-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEFKE-HARBOR",
        "first_name": "LORNA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MA LICENSED PSYCHOLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.