DR. MARY LYNN KITTELSON LP, JUNGIAN ANALYST
NPI 1174788947
Psychologist in Roseville, MN

Active since July 22, 2008
1711 COUNTY ROAD B W, SUITE 205-S, ROSEVILLE, MN 55113(651) 276-0305 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Lynn Kittelson Lp, Jungian Analyst NPPES

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

DR. MARY LYNN KITTELSON LP, JUNGIAN ANALYST (NPI 1174788947) is an individual psychologist in Roseville, Minnesota, licensed in Minnesota (2078) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1174788947
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY LYNN KITTELSONCredential: LP, JUNGIAN ANALYST
Location Address1711 COUNTY ROAD B W, SUITE 205-SRoseville, MN 55113-4057
Mailing Address1975 Prior Ave NSaint Paul, MN 55113-5406 · (651) 489-7484
Sole ProprietorYes
Enumeration DateJuly 22, 2008
NPI 1174788947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · 2078
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychoanalystTaxonomy 102L00000X
1711 COUNTY ROAD B W, Roseville, MN 55113

Other Identifiers 2

OtherP911100NY · National Association For The Advancement Of Psychoanalysis
Other1409168MN · Mn State Tax Id

Other Providers at the Same Location NPPES 7

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

Physical Therapist
1711 COUNTY ROAD B W, SUITE 102 SOUTH
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, 200S
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, SUITE 200 SOUTH
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, ROSEWOOD OFFICE PLAZA SUITE 210S
ROSEVILLE, MN 55113
Counselor (Mental Health)
1711 COUNTY ROAD B W
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, SUITE 210S
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, 100F
ROSEVILLE, MN 55113

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 Mary Kittelson's NPI number?

The NPI number for Mary Kittelson is 1174788947. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Mary Kittelson located?

Mary Kittelson practices at 1711 County Road B W Suite 205-S, Roseville, MN 55113. The listed phone number is (651) 276-0305.

What is Mary Kittelson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mary Kittelson was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.