Individual provider Active NPI

Theodore Catanzaro

  • Psychologist
  • Minnetonka, MN
National Provider Identifier
1467362822
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
41378 Issued in TX
Practice address
10590 Wayzata Blvd Ste 160
Minnetonka, MN 55305-5531
Phone
(651) 505-3273
NPI assigned
Sep 9, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 41378 TX Primary

Addresses

Primary practice location

10590 Wayzata Blvd Ste 160
Minnetonka, MN 55305-5531

Mailing address

200 Nathan LN N Apt 312
Plymouth, MN 55441-6480
Phone (651) 505-3273

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

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1467362822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NATHAN LN N APT 312",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416480",
            "telephone_number": "651-505-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 WAYZATA BLVD STE 160",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055531",
            "telephone_number": "651-505-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATANZARO",
        "first_name": "THEODORE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "41378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.