Active NPI
Caysha Hrtanek
- Clinical Psychologist
- Saint Peter, MN
National Provider Identifier
1487461422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP6633
- Practice address
- 100 Freeman Dr
Saint Peter, MN 56082-3504 - Phone
- (507) 985-2514
- NPI assigned
- Dec 13, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP6633 | MN | Primary |
Addresses
Primary practice location
100 Freeman Dr
Saint Peter, MN 56082-3504
Mailing address
100 Freeman Dr
Saint Peter, MN 56082-3504
Phone (612) 382-7740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6633 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1487461422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FREEMAN DR",
"city": "SAINT PETER",
"state": "MN",
"postal_code": "560823504",
"telephone_number": "612-382-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FREEMAN DR",
"city": "SAINT PETER",
"state": "MN",
"postal_code": "560823504",
"telephone_number": "507-985-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRTANEK",
"first_name": "CAYSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP6633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peter, MN
- Michelle Corrine Holt, LICSW
- Paul Strand Holte, LICENCED PSYCHOLOGIS
- Sarah Ann Hommerding, PHARMD
- Horn of Africa Aid and Rehabilitation Action Network
- Noelle Howe, RPH.
- Mikayla Rose Hubin
- Laura J. Hulsebus, D.C.
- Hy-Vee Inc (Hy-Vee Pharmacy (7079))
- Bethany Lyn Iliff
- Jamac Enterprise L. L. C. (Jama Interpreting and Transportation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.