Kathryn O'Connell, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5224 Issued in MN

Legal business name

KATHRYN O'CONNELL, LLC

Practice address

11900 Wayzata Blvd Ste 132
Minnetonka, MN 55305-2018

Phone

(612) 845-3554

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

Kathryn O'Connell, MA, LP

Title

Licensed Psychologist

Phone

(612) 845-3554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1699107839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD STE 132",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052018",
            "telephone_number": "612-845-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD STE 132",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052018",
            "telephone_number": "612-845-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN O'CONNELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-845-3554",
        "authorized_official_credential": "MA, LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "5224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.