DR. DIANE KAY FELTON PHD LP NPI 1235200791

NPI Information

NPI: 1235200791
Provider Name: DR. DIANE KAY FELTON, PHD, LP
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
6120 EARLE BROWN DR
SUITE 520
BROOKLYN CENTER, MN
ZIP 55430
Phone: (763) 531-0566
Get Directions

DR. Diane Kay Felton, PHD, LP is a clinical child and adolescent psychologist in Brooklyn Center, MN. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Diane Kay Felton, PHD, LP NPI is 1235200791. 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:

6120 EARLE BROWN DR
SUITE 520
BROOKLYN CENTER, MN
ZIP 55430-123
Phone: (763) 531-0566
Fax: (763) 531-0602

The enumeration date for this NPI number is 11/13/2006 and was last updated on 11/17/2016.

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	103TC0700X	Psychologist	Clinical	LP1489	MINNESOTA	No
2	103TF0200X	Psychologist	Forensic	LP1489	MINNESOTA	No
3	103TH0004X	Psychologist	Health	LP1489	MINNESOTA	No
4	103TC2200X	Psychologist	Clinical Child & Adolescent	LP1489	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	HP35175	OTHER	MINNESOTA	HEALTHPARTNERS
2	193852500	MEDICAID	MINNESOTA
3	104655	OTHER	MINNESOTA	UCARE
4	61-12600	OTHER	MINNESOTA	MEDICA
5	4H026FE	OTHER	MINNESOTA	BLUECROSSBLUESHIELD

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: 5/5/2024

NPI Synchronization or Removal

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