Foster C Cole, PHD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0228 Issued in MN

Practice address

6150 Oren Ave N
Mail Code 14001a
Stillwater, MN 55082-6173

Phone

(651) 430-1668

Fax

(651) 430-0177

NPI assigned

Feb 10, 2006

Last updated

Sep 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1518930379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 34TH AVE S",
            "address_2": "21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251672",
            "telephone_number": "952-883-7961",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OREN AVE N",
            "address_2": "MAIL CODE 14001A",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826173",
            "telephone_number": "651-430-1668",
            "fax_number": "651-430-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "FOSTER",
        "middle_name": "C",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "0228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357852600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Denise Clemens, R.N.
• Lisa Mary Clements, OTR
• Maura Jean Walsh Clemons, PA-C
• Paula Marie Closson Behm, PTA
• Anthony Nelson Coffey, PT
• Coleen Groen, LLC
• Renee Catherine Collova-Bergee, LP
• Tamilyn A Colombo, MA CCC/SLP
• Jeffrey Russell Comins, PSY.D.
• Elizabeth A Connor, OTR/L

• Clinical Psychologist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.