MARY BETH KIBORT, PSY.D., LP
NPI 1336245455
Psychologist - Clinical in Saint Paul, MN

Active since September 15, 2006
821 RAYMOND AVE, SUITE 200, SAINT PAUL, MN 55114(651) 645-2890(651) 645-4603 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Beth Kibort, Psy.d., Lp NPPES

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

MARY BETH KIBORT, PSY.D., LP (NPI 1336245455) is a healthcare organization registered as a clinical in Saint Paul, Minnesota and active in the NPI registry since September 2006. The organization lists Mary Beth Kibort, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1336245455
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARY BETH KIBORT, LLC
Location Address821 RAYMOND AVE, SUITE 200Saint Paul, MN 55114-1503
Mailing Address821 Raymond Ave, Suite 200Saint Paul, MN 55114-1503 · (651) 645-2890 · Fax (651) 645-4603
Fax(651) 645-4603
Organization SubpartNo
Authorized OfficialMary Beth KibortClinical Psychologist · (651) 645-2890
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1336245455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP4224
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

821 RAYMOND AVE, Saint Paul, MN 55114

Other Names 1

Doing Business AsMary Beth Kibort, Psy.d., Lp

Other Identifiers 4

Other103255MN · Healthpartners
Other330LOKIMN · Bcbs
Other6157722MN · Medica/ubh
Other122502MN · Ucare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
821 RAYMOND AVE, #300
SAINT PAUL, MN 55114
Psychologist
821 RAYMOND AVE, SUITE 200
SAINT PAUL, MN 55114
Marriage & Family Therapist
821 RAYMOND AVE, SUITE 440
SAINT PAUL, MN 55114
Psychologist (Clinical)
821 RAYMOND AVE, SUITE 440
SAINT PAUL, MN 55114
Psychologist
821 RAYMOND AVE, #200
ST PAUL, MN 55114
Counselor (Professional)
821 RAYMOND AVE
SAINT PAUL, MN 55114
Psychologist
821 RAYMOND AVE, SUITE 200
SAINT PAUL, MN 55114
Marriage & Family Therapist
821 RAYMOND AVE
SAINT PAUL, MN 55114

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 Beth Kibort, LLC's NPI number?

The NPI number for Mary Beth Kibort, LLC is 1336245455. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Mary Beth Kibort, Psy.D., LP.

Where is Mary Beth Kibort, LLC located?

Mary Beth Kibort, LLC is located at 821 Raymond Ave Suite 200, Saint Paul, MN 55114. The listed phone number is (651) 645-2890.

What is Mary Beth Kibort, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mary Beth Kibort, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.