Organization Active NPI

Tamarind P Knutson, LLC

  • Clinical Psychologist
  • Roseville, MN
National Provider Identifier
1760815229
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5137 Issued in MN
Legal business name
TAMARIND P KNUTSON, LLC
Practice address
2579 Hamline Ave N Ste D
Roseville, MN 55113-3187
Phone
(651) 398-7882
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Dr. Tamarind P Knutson, PSYDNPI 1003149717
Title
Licensed Psychologist
Phone
(651) 398-7882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP5137 MN Primary

Addresses

Primary practice location

2579 Hamline Ave N Ste D
Roseville, MN 55113-3187

Mailing address

2579 Hamline Ave N Ste D
Roseville, MN 55113-3187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140205000489 MN Part B Supplier - Clinic/Group Practice 3476782855 Receives reassigned benefits from 1 practitioner
Practice locations: Lino Lakes, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1760815229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 HAMLINE AVE N STE D",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 HAMLINE AVE N STE D",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133187",
            "telephone_number": "651-398-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARIND P KNUTSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "TAMARIND",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-398-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.