Active NPI
John Cooke Kluznik, MD
- Psychiatry Physician
- Crystal, MN
National Provider Identifier
1407846496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 21665
- Practice address
- 2960 Winnetka Ave N
Suite 208
Crystal, MN 55427-2853 - Phone
- (763) 512-1090
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21665 | MN | Primary |
Addresses
Primary practice location
2960 Winnetka Ave N
Suite 208
Crystal, MN 55427-2853
Mailing address
1042 Summit Ave
Saint Paul, MN 55105-3003
Phone (651) 293-1076
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1567993 | Other | MEDMA | |
| HP35359 | Other | HP | |
| 1567993 | Other | ADVAN | |
| 1015832 | Other | PEAK | |
| 1567993 | Other | UHC U | |
| 49A22KL | Other | EPNI | |
| 49A22KL | Other | CCS | |
| 1015832 | Other | PRE 1 | |
| 1015832 | Other | P1CHP | |
| 1567993 | Other | UHIC | |
| 1567993 | Other | UHC | |
| 49A22KL | Other | B L | |
| 49A22KL | Other | ANTHE | |
| 1567993 | Other | MEDCA | |
| 49A22KL | Other | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21665 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard H. Morse, MD a Prof. Med. Corp. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Interventional Pain Medicine Physician
- New Orleans, LA
- NPI 1922262112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407846496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 SUMMIT AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053003",
"telephone_number": "651-293-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 WINNETKA AVE N",
"address_2": "SUITE 208",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554272853",
"telephone_number": "763-512-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUZNIK",
"first_name": "JOHN",
"middle_name": "COOKE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "21665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDMA",
"identifier": "1567993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HP",
"identifier": "HP35359",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVAN",
"identifier": "1567993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEAK",
"identifier": "1015832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC U",
"identifier": "1567993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPNI",
"identifier": "49A22KL",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCS",
"identifier": "49A22KL",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRE 1",
"identifier": "1015832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P1CHP",
"identifier": "1015832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHIC",
"identifier": "1567993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1567993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B L",
"identifier": "49A22KL",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHE",
"identifier": "49A22KL",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCA",
"identifier": "1567993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49A22KL",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.