Active NPI
Kathleen Ann Vader, L.P.
- Psychologist
- Edina, MN
National Provider Identifier
1730269598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3026
- Practice address
- 6950 France Ave S
14
Edina, MN 55435-2008 - Phone
- (952) 929-3123
- Fax
- (952) 929-3443
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3026 | MN | Primary |
Addresses
Primary practice location
6950 France Ave S
14
Edina, MN 55435-2008
Mailing address
6950 France Ave S
14
Edina, MN 55435-2008
Phone (952) 929-3123
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3026 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730269598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6950 FRANCE AVE S",
"address_2": "14",
"city": "EDINA",
"state": "MN",
"postal_code": "554352008",
"telephone_number": "952-929-3123",
"fax_number": "952-929-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6950 FRANCE AVE S",
"address_2": "14",
"city": "EDINA",
"state": "MN",
"postal_code": "554352008",
"telephone_number": "952-929-3123",
"fax_number": "952-929-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADER",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"credential": "L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "3026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, 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.