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K.A. JACOBSON, PH.D., PLLC
NPI 1154363414
Clinic/Center - Mental Health (Including Community Mental Health Center) in Golden Valley, MN

Active since June 12, 2006
5101 OLSON MEMORIAL HWY, SUITE 4003, GOLDEN VALLEY, MN 55422(763) 595-7294(763) 595-7293 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About K.a. Jacobson, Ph.d., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

K.A. JACOBSON, PH.D., PLLC (NPI 1154363414) is a healthcare organization registered as a mental health (including community mental health center) in Golden Valley, Minnesota and active in the NPI registry since June 2006. The organization lists Kathleen A. Jacobson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154363414
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameK.A. JACOBSON, PH.D., PLLC
Location Address5101 OLSON MEMORIAL HWY, SUITE 4003Golden Valley, MN 55422-5149
Mailing Address5101 Olson Memorial Hwy, Suite 4003Golden Valley, MN 55422-5149 · (763) 595-7294 · Fax (763) 595-7293
Phone(763) 595-7294
Fax(763) 595-7293
Organization SubpartNo
Authorized OfficialKathleen A. JacobsonClinical Psychologist · (763) 595-7294
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154363414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MN · LP0158
5101 OLSON MEMORIAL HWY, Golden Valley, MN 55422
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL B. PETERSON PH.D., L.P., LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5101 OLSON MEMORIAL HWY, SUITE 4005
GOLDEN VALLEY, MN 55422
Hennepin County (763) 595-7294
KATHRYN B. MILLER, P.A.
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, SUITE 4004
GOLDEN VALLEY, MN 55422
Hennepin County (763) 595-7294
DR. ROSLYN BETH BINFORD HOPF PHD, LP
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, STE 4009
GOLDEN VALLEY, MN 55422
Hennepin County (763) 595-7294
CHRISTINE GIBBON, PHD, LP, LLC
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, SUITE 4002
GOLDEN VALLEY, MN 55422
Hennepin County (763) 595-7294
DR. KATHRYN BREVARD MILLER PH.D.
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, SUITE 4004
GOLDEN VALLEY, MN 55422
Hennepin County (763) 595-7294
DR. KERRY G. AIKMAN PH.D.
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, SUITE 4006
GOLDEN VALLEY, MN 55422
Hennepin County (612) 246-3017
JUDITH BLAIR HENDERSON PH.D.
Psychologist (Health Service)
5101 OLSON MEMORIAL HWY, SUITE 4002
GOLDEN VALLEY, MN 55422
Hennepin County (763) 595-7294
DR. DIANN M ACKARD PH.D.
Psychologist
5101 OLSON MEMORIAL HWY, #4001
GOLDEN VALLEY, MN 55422
Hennepin County (763) 595-7294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is K.A. Jacobson, Ph.D., PLLC's NPI number?

The NPI number for K.A. Jacobson, Ph.D., PLLC is 1154363414. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is K.A. Jacobson, Ph.D., PLLC located?

K.A. Jacobson, Ph.D., PLLC is located at 5101 Olson Memorial Hwy Suite 4003, Golden Valley, MN 55422. The listed phone number is (763) 595-7294.

What is K.A. Jacobson, Ph.D., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for K.A. Jacobson, Ph.D., PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.