DR. KIMBERLY BATEMAN PSY.D. NPI 1588774871

NPI Information

NPI: 1588774871
Provider Name: DR. KIMBERLY BATEMAN, PSY.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2265 COMO AVE STE 201
SAINT PAUL, MN
ZIP 55108
Phone: (651) 646-8985
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DR. Kimberly Bateman, PSY.D. is a mental health counselor in Saint Paul, MN. DR. Kimberly Bateman, PSY.D. NPI is 1588774871. 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:

2265 COMO AVE STE 201
SAINT PAUL, MN
ZIP 55108-700
Phone: (651) 646-8985

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	4636	MINNESOTA	Yes
2	101YP2500X	Counselor	Professional	4636	MINNESOTA	X
3	103TA0700X	Psychologist	Adult Development & Aging	4636	MINNESOTA	X
4	103TB0200X	Psychologist	Cognitive & Behavioral	4636	MINNESOTA	X
5	103TC0700X	Psychologist	Clinical	4636	MINNESOTA	X
6	103TC1900X	Psychologist	Counseling	4636	MINNESOTA	X
7	103TC2200X	Psychologist	Clinical Child & Adolescent	4636	MINNESOTA	X
8	103TF0000X	Psychologist	Family	4636	MINNESOTA	X
9	103TH0100X	Psychologist	Health Service	4636	MINNESOTA	X
10	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	4636	MINNESOTA	X
11	103TP2701X	Psychologist	Group Psychotherapy	4636	MINNESOTA	X
12	103T00000X	Psychologist		4636	MINNESOTA	X

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	78G56BA	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MN

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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