KIM STACY BALDWIN (NPI# 1205801610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205801610 |
| Entity Type | Individual |
| Full Name | KIM STACY BALDWIN |
| Credential | PHD LP |
| Practice Address |
1407 W 4th St Red Wing MN 55066-2108 |
| Mailing Address |
32073 Lakeview Dr Lake City MN 55041-3256 |
| Practice Telephone | 6512675000 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP1728 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351731 | Kim Baldwin | Social Worker | 19 W 34th St Ph, New York, NY 10001-3006 | 2018-10-05 |
| 1063710143 | Kim Jenon Baldwin | Massage Therapist | 201 W 3rd St, Rifle, CO 81650-2245 | 2011-03-14 |
| 1295906576 | Kim Marie Baldwin | Marriage & Family Therapist | 100 Campus View Dr, Lincoln, IL 62656-2111 | 2008-03-14 |
| Street Address |
1407 W 4TH ST |
| City | RED WING |
| State | MN |
| Zip Code | 55066-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831692508 | Kanko Akakpovi | Health Educator | 1407 W 4th St, Red Wing, MN 55066-2108 | 2018-03-08 |
| 1578994976 | Michelle Leroy | Psychologist | 1407 W 4th St, Red Wing, MN 55066-2108 | 2013-12-10 |
| 1467427765 | David L Roseen | Psychologist | 1407 W 4th St, Red Wing, MN 55066-2108 | 2006-02-21 |
| 1780659003 | Judith K Scott | Nurse Practitioner | 1407 W 4th St, Red Wing, MN 55066-2108 | 2006-02-21 |
| 1356316673 | Lynne K Staker | Social Worker | 1407 W 4th St, Red Wing, MN 55066-2108 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
| 1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
| 1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
| 1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
| 1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
| 1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
| 1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
| 1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
| 1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
| 1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
| Find all providers in zip 55066 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
| 1457592040 | William G Clafton | Psychologist | 1755 Old West Main St, Suite 204, Red Wing, MN 55066-2088 | 2009-03-12 |
| 1639299597 | Monarch Psychological Consulting LLC | Psychologist | 217 Plum St # 140, Box 8a, Red Wing, MN 55066-2351 | 2007-04-01 |
| 1841617172 | Red Wing Health Center | Psychologist | 1412 W 4th St, Red Wing, MN 55066-2107 | 2014-03-25 |
| 1578994976 | Michelle Leroy | Psychologist | 1407 W 4th St, Red Wing, MN 55066-2108 | 2013-12-10 |
| 1295970259 | Joy Marie Fairbanks | Psychologist | 2835 S Service Dr Ste 203, Red Wing, MN 55066-1883 | 2008-12-04 |
| 1083780829 | Mary Jane Whiteside | Psychologist | 217 Plum St, Suite 140, Red Wing, MN 55066-2351 | 2006-11-24 |
| 1811962871 | Elizabeth Jane Lorentzen | Psychologist | 325 Main St, Suite 201, Red Wing, MN 55066 | 2006-02-22 |
| 1467427765 | David L Roseen | Psychologist | 1407 W 4th St, Red Wing, MN 55066-2108 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
| 1730716994 | Tamolyn Patterson Benke | Psychologist | 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 | 2020-03-26 |
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1073161220 | Jeffrey Paul Olsen | Psychologist | 2275 Youngman Ave Ste 204, Saint Paul, MN 55116-3053 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.