Individual provider Active NPI

Mary Kay Elizabeth Voight-Moller, L.P.

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1699815654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2949 Issued in MN
Practice address
333 Grand Ave
Suite 215
Saint Paul, MN 55102-2582
Phone
(651) 227-8105
Fax
(651) 227-8106
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2949 MN Primary

Addresses

Primary practice location

333 Grand Ave
Suite 215
Saint Paul, MN 55102-2582

Mailing address

14316 Upper 56TH St N
Oak Park Heights, MN 55082-6442
Phone (651) 430-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2949MNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699815654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14316 UPPER 56TH ST N",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550826442",
            "telephone_number": "651-430-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "address_2": "SUITE 215",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022582",
            "telephone_number": "651-227-8105",
            "fax_number": "651-227-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOIGHT-MOLLER",
        "first_name": "MARY KAY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "2949",
            "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 Jul 8, 2007; 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.