Thanh Son Thi Nguyen-Kelly, PH.D., LP, DABPS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4596 Issued in MN

Practice address

1315 West Larpenteur Suite I
Roseville, MN 55113

Phone

(651) 645-8080

Fax

(651) 645-8181

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Thanh Son Thi Nguyen Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1447369673
  Medicare reassignment
• Kelly & Nguyen-Kelly Psychological and Consulting Services, LLC

  dba Maplewood Psychology

  • Clinical Psychologist
  • Maplewood, MN
  • NPI 1437393287
  NPD (past)
• Open Cities Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Paul, MN
  • NPI 1225101405
  NPD (past)
• Open Cities Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Paul, MN
  • NPI 1538037619
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932321486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 BELMONT LANE EAST",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-917-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WEST LARPENTEUR SUITE I",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-645-8080",
            "fax_number": "651-645-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-KELLY",
        "first_name": "THANH SON",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP, DABPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THANH SON",
            "last_name": "NGUYEN",
            "middle_name": "THI",
            "prefix": "DR.",
            "credential": "PH.D., LP, DABPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sameer Nevile, M.D.
• New Leaf Therapy, Inc.
• Bailey Newell, MA, LMFT
• Susanna M Newsome, R.N.
• Lucy Njeri Ngure, RN
• Doan Trang Nguyen, DMD
• Kevin Quynh Nguyen, M.D.
• Lam Phuong Nguyen, DDS
• Nice Healthcare PLLC
• Rebecca Nielsen

• Psychologist in Roseville, MN
• Providers in Roseville, MN by specialty
• Psychologist in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.