MS. KATHERINE ANN DALY MD NPI 1922162155

NPI Information

NPI: 1922162155
Provider Name: MS. KATHERINE ANN DALY, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
1660 SOUTH HWY 100
PARKDALE PLAZA SUITE 598
ST LOUIS PARK, MN
ZIP 55416
Phone: (763) 520-1631
Get Directions

MS. Katherine Ann Daly, MD is a child and adolescent psychiatry psychiatry neurology in St Louis Park, MN. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. MS. Katherine Ann Daly, MD NPI is 1922162155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1660 SOUTH HWY 100
PARKDALE PLAZA SUITE 598
ST LOUIS PARK, MN
ZIP 55416
Phone: (763) 520-1631
Fax: (952) 546-0715

The NPI 1922162155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 9/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		39009	MINNESOTA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	39009	MINNESOTA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	39009	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H31682	MEDICARE UPIN
2	600927100	MEDICAID	MINNESOTA
3	260001830	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	TERM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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