DR. KATHLEEN CHRISTENSEN


Address: 1400 Madison Ave Ste 628, Mankato, MN 56001-5488
Phone: 5077797366

DR. KATHLEEN CHRISTENSEN (NPI# 1932106606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932106606
Entity Type Individual
Full Name DR. KATHLEEN CHRISTENSEN
Credential PSY.D.
Practice Address 1400 Madison Ave Ste 628
Mankato
MN 56001-5488
Practice Telephone 5077797366
Practice Fax Number 8558479876
Mailing Telephone 5077797366
Mailing Fax Number 8558479876
Enumeration Date 2005-07-07
Last Update Date 2017-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP2831 MN Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 619 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1932106606 05

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Office Location

Street Address 1400 MADISON AVE STE 628
City MANKATO
State MN
Zip Code 56001-5488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356630438 Mark Kleiman Psychologist 1400 Madison Ave Ste 628, Mankato, MN 56001-5488 2011-03-29
1366505935 Amanda M Knutson Counselor 1400 Madison Ave Ste 628, Mankato, MN 56001-5488 2006-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935435 Kelly Nicole Ricke Physical Medicine & Rehabilitation 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 2020-09-03
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1831687235 Christian Goetz Specialist/Technologist 401-477 South Rd, Mankato, MN 56001 2018-05-01
1366949141 Minnesota State College and Universities Specialist/Technologist 135 Myers Field House, Mankato, MN 56001 2018-04-09
1780191775 Kevin David Nelson Pharmacist 111 Redtail Ct Apt 308, Mankato, MN 56001 2017-12-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417365057 Adam Anderson, Phd, Clinical Psychologist, LLC Psychologist 11 Civic Center Plz Ste 201, Mankato, MN 56001-7718 2014-07-28
1124297213 George V Komaridis Psychologist 12 Civic Center Plz, Suite 2090, Mankato, MN 56001-7781 2008-02-22
1326216169 Philip Psychological Clinic Psychologist 510 Sibley Street, Suite 200, Mankato, MN 56001 2008-02-14
1750586517 Ponrelil Philipose Philip Psychologist 103 North Broad Street, Mankato, MN 56001 2007-06-20
1235273624 Jacquelyn Marie Jauss Psychologist 11 Civic Center Plz, Suite 201, Mankato, MN 56001-7710 2007-02-18
1093886673 David Earl Hildebrandt Psychologist 100 Martin Luther King Dr, Mankato, MN 56001-6275 2006-11-13
1912938275 Eric Sprankle Psychologist 1600 Warren St, Suite 6, Mankato, MN 56001-5197 2006-07-05
1063463347 Theodore Surdy Psychologist 1207 Caledonia St, Mankato, MN 56001-4329 2006-05-12
1043298060 Theresa L Gunderson Psychologist Madison East Center, Suite 352 Mankato Clinic Department of Psychiatry, Mankato, MN 56001 2006-01-09
1104394212 Tyler Maxwell Dority Psychologist 12 Civic Center Plz Ste 1615, Mankato, MN 56001-7783 2018-11-06
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Competitor

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City MANKATO
Zip Code 56001

Improve Information

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Dataset Information

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.

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