Dr Kathleen Michelle Petersen, PHD - Psychologist in Excelsior, MN

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Dr Kathleen Michelle Petersen, PHD is a Psychologist - School based in Excelsior, Minnesota. Dr Kathleen Michelle Petersen is licensed to practice in Minnesota (license number 5567) and her current practice location is 202 Water St Ste 208, Excelsior, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 615-3575.

NPI number for Dr Kathleen Michelle Petersen is 1609510858 and her current mailing address is 202 Water St Ste 208, Excelsior, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609510858.

Contact Information

Dr Kathleen Michelle Petersen, PHD
202 Water St Ste 208,
Excelsior, MN 55331-1887
(612) 615-3575
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kathleen Michelle Petersen
GenderFemale
SpecialityPsychologist - School
Location202 Water St Ste 208, Excelsior, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609510858
  • Provider Enumeration Date: 04/25/2022
  • Last Update Date: 04/25/2022

Medical Identifiers

Medical identifiers for Dr Kathleen Michelle Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609510858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 5567 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathleen Michelle Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathleen Michelle Petersen, PHD
202 Water St Ste 208,
Excelsior, MN 55331-1887

Ph: (612) 615-3575		Dr Kathleen Michelle Petersen, PHD
202 Water St Ste 208,
Excelsior, MN 55331-1887

Ph: (612) 615-3575

Reviews and Comments


Psychologist in Excelsior, MN

Steven Rodney Wilson, L.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 20425 Summerville Rd, Excelsior, MN 55331
Phone: 952-451-7003    
Dr. Lynn Workman Nodland, PH.D., LMFT
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 684 Excelsior Blvd, Suite Number 120, Excelsior, MN 55331
Phone: 952-452-2664    Fax: 952-401-0480

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.