MINDY E KRONENBERG PHD NPI 1790707719

NPI Information

  • NPI: 1790707719
  • Provider Name: MINDY E KRONENBERG, PHD
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 5583 MURRAY RD
    STE 208
    MEMPHIS, TN
    ZIP 38119
  • Phone: (901) 762-4488

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NPI Details

Mindy E Kronenberg, PHD is a clinical child and adolescent psychologist in Memphis, TN. 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. Mindy E Kronenberg, PHD NPI is 1790707719. 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:

5583 MURRAY RD
STE 208
MEMPHIS, TN
ZIP 38119-841
Phone: (901) 762-4488
Fax: (901) 762-4497

The enumeration date for this NPI number is 7/25/2006 and was last updated on 9/28/2010.

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
1103T00000XPsychologist971LOUISIANANo
2103TC0700XPsychologistClinical2974TENNESSEENo
3103TC2200XPsychologistClinical Child & Adolescent2974TENNESSEENo
4103TC2200XPsychologistClinical Child & Adolescent971LOUISIANAYes

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
14H365MEDICARE PINLOUISIANA
21068403MEDICAIDLOUISIANA
34H365F669MEDICARE PINLOUISIANA

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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