KATHLYN NELSON PHD LLC NPI 1609008010

NPI Information

  • NPI: 1609008010
  • Provider Name: KATHLYN NELSON PHD LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 7616 CURRELL BLVD
    STE. 280
    WOODBURY, MN
    ZIP 55125
  • Phone: (651) 341-9667

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NPI Details

KATHLYN NELSON PHD LLC is a community behavioral health in Woodbury, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. KATHLYN NELSON PHD LLC NPI is 1609008010. The provider is registered as an organization entity type.

The provider's business location address is:

7616 CURRELL BLVD
STE. 280
WOODBURY, MN
ZIP 55125-290
Phone: (651) 341-9667
Fax: (651) 735-7527

The provider's authorized official is Kathlyn Elvera Nelson .
The authorized official title is Sole Proprietor and has the following contact phone number (651) 341-9667.

The enumeration date for this NPI number is 8/18/2009 and was last updated on 8/18/2009.

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
1251S00000XCommunity/Behavioral HealthLP 3967MINNESOTAYes

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
11093804338OTHERMINNESOTAINDIVIDUAL NATIONAL PROVIDER IDENTIFIER
2459510600MEDICAIDMINNESOTA

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: 11/21/2025

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