KATHELEEN AVILA M.A. LIC PSYCHOLOGIS
NPI 1255305306
Psychologist in Minneapolis, MN

Active since February 15, 2006
3608 44TH AVE S, [email protected], MINNEAPOLIS, MN 55406(612) 872-9231(612) 722-3306 Get Directions Write a Review

NPPES record last updated: August 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katheleen Avila M.a. Lic Psychologis NPPES

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

KATHELEEN AVILA M.A. LIC PSYCHOLOGIS (NPI 1255305306) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP0449) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1255305306
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHELEEN AVILACredential: M.A. LIC PSYCHOLOGIS
Location Address3608 44TH AVE S, [email protected]Minneapolis, MN 55406-2906
Mailing Address3608 44th Ave SMinneapolis, MN 55406-2906 · (612) 872-9231 · Fax (612) 722-3306
Fax(612) 722-3306
Sole ProprietorYes
Enumeration DateFebruary 15, 2006
Last NPPES UpdateAugust 5, 2011
NPI 1255305306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP0449
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.
3608 44TH AVE S, Minneapolis, MN 55406

Other Identifiers 1

Medicaid045248300MN

Other Providers at the Same Location NPPES

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

Psychologist (Counseling)
3608 44TH AVE S
MINNEAPOLIS, MN 55406

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 Katheleen Avila's NPI number?

The NPI number for Katheleen Avila is 1255305306. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Katheleen Avila located?

Katheleen Avila practices at 3608 44th Ave S [email protected], Minneapolis, MN 55406. The listed phone number is (612) 872-9231.

What is Katheleen Avila'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 Katheleen Avila was last updated on August 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.