Kathleen Woods Hoogerhyde, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4891 Issued in MN

Practice address

360 Sherman St Ste 200
Saint Paul, MN 55102-2567

Phone

(651) 220-6720

Fax

(651) 220-6707

NPI assigned

Dec 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Kathleen E Woods Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1952586745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CENTRE POINTE DRIVE",
            "address_2": "35-121A",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131182",
            "telephone_number": "651-855-2327",
            "fax_number": "651-855-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022567",
            "telephone_number": "651-220-6720",
            "fax_number": "651-220-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGERHYDE",
        "first_name": "KATHLEEN",
        "middle_name": "WOODS",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4891",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4891",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP4891",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MN",
            "license": "LP4891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WOODS",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annika Liese Branson Homstad, LGSW
• Nicholas Honda, PHARMD
• Leslie Hong, LPC, LADC
• Tonja Honsey
• Janell A Honza, CRNA
• Lisa N Hoogheem, MA, LADC
• Jennifer Marie Hook Varella Barca, PA-C
• Julie Kay Hooker, MS, LADC
• Amanda Hookom, RDN, LD
• Michael D Hooley, MD

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.