NPIMap

Organization Active NPI

Kate M Hathaway, PHD, LP, Inc

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1497172084
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP0516 Issued in MN
Legal business name
KATE M HATHAWAY, PHD, LP, INC
Practice address
241 Cleveland Ave S Ste P
Saint Paul, MN 55105
Phone
(651) 796-4423
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Kate M Hathaway, LP
Title
Owner
Phone
(651) 796-4423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP0516 MN Primary

Addresses

Primary practice location

241 Cleveland Ave S Ste P
Saint Paul, MN 55105

Mailing address

241 Cleveland Ave S Ste P
Saint Paul, MN 55105-1208
Phone (651) 796-4423

Other practice location 1

36901 Xenon St NW
Princeton, MN 55371-5600
Phone (651) 796-4423

Other practice location 2

241 Cleveland Ave S Ste P
Saint Paul, MN 55105
Phone (651) 796-4423

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1497172084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CLEVELAND AVE S STE P",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051208",
            "telephone_number": "651-796-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CLEVELAND AVE S STE P",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-796-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36901 Xenon St NW",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "MN",
            "postal_code": "553715600",
            "country_code": "US",
            "telephone_number": "651-796-4423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Cleveland Ave S Ste P",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "55105",
            "country_code": "US",
            "telephone_number": "651-796-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATE M HATHAWAY, PHD, LP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-796-4423",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.