K.A. JACOBSON, PH.D., PLLC (NPI# 1154363414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154363414 |
| Entity Type | Organization |
| Organization Name | K.A. JACOBSON, PH.D., PLLC |
| Practice Address |
5101 Olson Memorial Hwy Suite 4003 Golden Valley MN 55422-5149 |
| Practice Telephone | 7635957294 |
| Practice Fax Number | 7635957293 |
| Mailing Telephone | 7635957294 |
| Mailing Fax Number | 7635957293 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KATHLEEN A. JACOBSON (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7635957294 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LP0158 | MN | Ambulatory Health Care Facilities |
| Street Address |
5101 OLSON MEMORIAL HWY SUITE 4003 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922046481 | Diann M Ackard | Psychologist | 5101 Olson Memorial Hwy, #4001, Golden Valley, MN 55422-5149 | 2006-06-04 |
| 1346613478 | Christine Gibbon, Phd, Lp, LLC | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2015-11-11 |
| 1942695309 | Catherine L. Cronemeyer, Psy.d., L.p., L.L.C. | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2015-04-02 |
| 1780982223 | Kerry G. Aikman | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2011-03-08 |
| 1114932522 | Carol B. Peterson Ph.d., L.p., LLC | Clinic/Center | 5101 Olson Memorial Hwy, Suite 4005, Golden Valley, MN 55422-5149 | 2006-07-31 |
| 1992740922 | Kathleen A. Jacobson | Psychologist | 5101 Olson Memorial Hwy, Suite 4003, Golden Valley, MN 55422-5149 | 2006-06-16 |
| 1558305565 | Kathryn Brevard Miller | Psychologist | 5101 Olson Memorial Hwy, Suite 4004, Golden Valley, MN 55422-5149 | 2006-06-16 |
| 1831132778 | Judith Blair Henderson | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2006-06-14 |
| 1114969409 | Kathryn B. Miller, P.a. | Psychologist | 5101 Olson Memorial Hwy, Suite 4004, Golden Valley, MN 55422-5149 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410471 | Sahal Wellness LLC | Clinic/Center | 1710 Douglas Dr N Ste 224v, Golden Valley, MN 55422-4361 | 2019-11-04 |
| 1114932522 | Carol B. Peterson Ph.d., L.p., LLC | Clinic/Center | 5101 Olson Memorial Hwy, Suite 4005, Golden Valley, MN 55422-5149 | 2006-07-31 |
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|---|---|---|---|---|
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| 1740880764 | East Metro Trauma and Recovery LLC | Clinic/Center | 4116 Hoffman Rd, White Bear Lake, MN 55110-3708 | 2020-10-28 |
| 1851991160 | Gratia Counseling & Consulting, LLC | Clinic/Center | 2705 Bunker Lake Blvd Nw Ste 103, Andover, MN 55304-3786 | 2020-10-27 |
| 1508465147 | Piece of Mind Counseling Services, Pllc | Clinic/Center | 1122 Bemidji Ave N, Bemidji, MN 56601-2833 | 2020-10-24 |
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1275149007 | Clarity Counseling Services Pllc | Clinic/Center | 521 W Highway 2, Cohasset, MN 55721-2300 | 2020-09-17 |
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1427662592 | Threesixty, LLC | Clinic/Center | 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 | 2020-09-04 |
| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on K.A. JACOBSON, PH.D., PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.