Carli Braun Kody, PHD, LP, L.L.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 5404 Issued in MN

Legal business name

CARLI BRAUN KODY, PHD, LP, L.L.C.

Practice address

700 Commerce Dr Ste 295
Woodbury, MN 55125-9245

Phone

(651) 272-9777

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Carli Braun Kody, PHD, LP

Title

Owner/Licensed Psychologist

Phone

(651) 272-9777

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1932502804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COMMERCE DR STE 295",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259245",
            "telephone_number": "651-272-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COMMERCE DR STE 295",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259245",
            "telephone_number": "651-272-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLI BRAUN KODY, PHD, LP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "KODY",
        "authorized_official_first_name": "CARLI",
        "authorized_official_middle_name": "BRAUN",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-272-9777",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 5404",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP 5404",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "LP 5404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.