DR. KATHLEEN A. JACOBSON (NPI# 1992740922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992740922 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN A. JACOBSON |
| Credential | PH.D. |
| Practice Address |
5101 Olson Memorial Hwy Suite 4003 Golden Valley MN 55422-5149 |
| Practice Telephone | 7635957294 |
| Practice Fax Number | 7635957293 |
| Mailing Telephone | 7635957294 |
| Mailing Fax Number | 7635957293 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP0158 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 184050900 | 05 | |
| MN | BCBS MN | 32Q47JA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484387 | Kathleen Jacobson | Occupational Therapist | 911 N 145th St, Seattle, WA 98133-6522 | 2020-07-08 |
| 1629123401 | Kathleen R Jacobson | Family Medicine | 1200 N State St, Los Angeles, CA 90033-1029 | 2007-01-24 |
| Street Address |
5101 OLSON MEMORIAL HWY SUITE 4003 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922046481 | Diann M Ackard | Psychologist | 5101 Olson Memorial Hwy, #4001, Golden Valley, MN 55422-5149 | 2006-06-04 |
| 1346613478 | Christine Gibbon, Phd, Lp, LLC | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2015-11-11 |
| 1942695309 | Catherine L. Cronemeyer, Psy.d., L.p., L.L.C. | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2015-04-02 |
| 1780982223 | Kerry G. Aikman | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2011-03-08 |
| 1114932522 | Carol B. Peterson Ph.d., L.p., LLC | Clinic/Center | 5101 Olson Memorial Hwy, Suite 4005, Golden Valley, MN 55422-5149 | 2006-07-31 |
| 1558305565 | Kathryn Brevard Miller | Psychologist | 5101 Olson Memorial Hwy, Suite 4004, Golden Valley, MN 55422-5149 | 2006-06-16 |
| 1831132778 | Judith Blair Henderson | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2006-06-14 |
| 1114969409 | Kathryn B. Miller, P.a. | Psychologist | 5101 Olson Memorial Hwy, Suite 4004, Golden Valley, MN 55422-5149 | 2006-06-12 |
| 1154363414 | K.a. Jacobson, Ph.d., Pllc | Clinic/Center | 5101 Olson Memorial Hwy, Suite 4003, Golden Valley, MN 55422-5149 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467837922 | Anna Tierney Ph.d. L.p. LLC | Psychologist | 5101 Olson Memorial Highway, #400, Golden Valley, MN 55422 | 2015-07-27 |
| 1558765065 | Laura Smith | Psychologist | 4050 Olson Memorial Hwy Ste 195, Golden Valley, MN 55422-5345 | 2014-10-13 |
| 1184856593 | Kirsten L Burns | Psychologist | 1405 Lilac Dr N Ste 1501, Golden Valley, MN 55422-4535 | 2009-08-18 |
| 1699289926 | Woodworth Psychological Services, LLC | Psychologist | 1405 Lilac Dr N Ste 200, Golden Valley, MN 55422-4546 | 2017-11-22 |
| 1164966560 | Kendra Ann Woodworth | Psychologist | 1405 Lilac Dr N, Suite 200, Golden Valley, MN 55422-4535 | 2016-12-05 |
| 1346613478 | Christine Gibbon, Phd, Lp, LLC | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2015-11-11 |
| 1326397092 | Ryan David Hovis | Psychologist | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2012-09-10 |
| 1174891618 | Randall Lee Morris-ostrom | Psychologist | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2011-12-12 |
| 1407123425 | Center for Psychological Consultation, P.a. | Psychologist | 8085 Wayzata Blvd, Suite 100b, Golden Valley, MN 55426-1453 | 2011-11-18 |
| 1780982223 | Kerry G. Aikman | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2011-03-08 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on DR. KATHLEEN A. JACOBSON.
| 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.