Karl Ritchie Schlotterbeck, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1290 Issued in MN

Practice address

445 157TH Ave NE
Ham Lake, MN 55304-5513

Phone

(763) 434-3940

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1861670226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 157TH AVE NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553045513",
            "telephone_number": "763-434-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 157TH AVE NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553045513",
            "telephone_number": "763-434-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOTTERBECK",
        "first_name": "KARL",
        "middle_name": "RITCHIE",
        "name_prefix": "Mr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Peterson, ATC
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• Michele Marie Revoir, DDS
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• Leyla Sanati-Zaker, DC
• Kathrine Schmit
• Danielle Smith, RN
• Hayley Lynn Stumne, DC
• Mary Theresa Swenson, EDD
• Diana Rose Symens

• Psychologist in Ham Lake, MN
• Providers in Ham Lake, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.