Organization Active NPI

Juihsien Kao, PHD, LP PLLC

  • Psychologist
  • Fridley, MN
National Provider Identifier
1457054686
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JUIHSIEN KAO, PHD, LP PLLC
Practice address
7362 University Ave NE Ste 209
Fridley, MN 55432-3151
Phone
(612) 400-7914
Fax
(612) 464-6595
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Juihsien Hung Kao, PHDNPI 1013402429
Title
Owner/Psychologist
Phone
(612) 205-4990

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 Primary

Addresses

Primary practice location

7362 University Ave NE Ste 209
Fridley, MN 55432-3151

Mailing address

7362 University Ave NE Ste 209
Fridley, MN 55432-3151
Phone (612) 400-7914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622002122 MN Part B Supplier - Clinic/Group Practice 2163880196 Receives reassigned benefits from 1 practitioner
Practice locations: Fridley, MN

National Provider Directory

National Provider Directory

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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1457054686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 209",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323151",
            "telephone_number": "612-400-7914",
            "fax_number": "612-464-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 209",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323151",
            "telephone_number": "612-400-7914",
            "fax_number": "612-464-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUIHSIEN KAO, PHD, LP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "JUIHSIEN",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-205-4990",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.