Organization Active NPI

Katie Anderson, PSYD, LP, LLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1598168700
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP5350 Issued in MN
Legal business name
KATIE ANDERSON, PSYD, LP, LLC
Practice address
3801 W 50TH St
#250A
Minneapolis, MN 55410-2047
Phone
(612) 910-1890
NPI assigned
Oct 1, 2014
Last updated
Oct 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Dr. Katie Anderson, PSYD
Title
Licensed Psychologist
Phone
(612) 910-1890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LP5350 MN Primary

Addresses

Primary practice location

3801 W 50TH St
#250A
Minneapolis, MN 55410-2047

Mailing address

3801 W 50TH St
#250A
Minneapolis, MN 55410-2047
Phone (612) 910-1890

National Provider Directory

National Provider Directory

Locations

3801 W 50th St
#250A
Minneapolis, MN 55410
Phone (612) 910-1890

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1598168700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W 50TH ST",
            "address_2": "#250A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102047",
            "telephone_number": "612-910-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 50TH ST",
            "address_2": "#250A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102047",
            "telephone_number": "612-910-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE ANDERSON, PSYD, LP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-910-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP5350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.