Monarch Psychological Consulting LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4039 Issued in MN

Legal business name

MONARCH PSYCHOLOGICAL CONSULTING LLC

Practice address

217 Plum St # 140
Box 8a
Red Wing, MN 55066-2351

Phone

(651) 212-0851

Fax

(651) 385-9052

NPI assigned

Apr 1, 2007

Last updated

Apr 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luann Marieda Klindworth, PH.D., LP

Title

Ceo

Phone

(651) 212-0851

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Peggy Wolner, LICSW

  • Clinical Social Worker
  • Red Wing, MN
  • NPI 1982971339
  NPD (past)

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1639299597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 PLUM ST # 140",
            "address_2": "BOX 8A",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662351",
            "telephone_number": "651-212-0851",
            "fax_number": "651-385-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PLUM ST # 140",
            "address_2": "BOX 8A",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662351",
            "telephone_number": "651-212-0851",
            "fax_number": "651-385-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH PSYCHOLOGICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "KLINDWORTH",
        "authorized_official_first_name": "LUANN",
        "authorized_official_middle_name": "MARIEDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-212-0851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Anne Miller
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• Charles D Moehnke, PA-C
• Eric C Mollgaard, MD
• Moment to Moment Healing Alternatives, LLC
• Addyson T Moore
• Denise Charlotte Morcomb, LICSW
• Michelle Denise Moser, LMFT
• Alexis Joanne Moyer
• Sara Nicole Muenkel

• Psychologist in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.