KATE KAVANAUGH, MA LP, PA
NPI 1396714234
Psychologist - Clinical in Eden Prairie, MN

Q: What is Kate Kavanaugh, Ma LP, PA's NPI number?

The NPI number for Kate Kavanaugh, Ma LP, PA is 1396714234. It was assigned to this organization in the NPPES registry on March 14, 2006.

Q: What is Kate Kavanaugh, Ma LP, PA's specialty?

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

Active since March 14, 2006

9531 W. 78TH STREET, SUITE 110, EDEN PRAIRIE, MN 55344(952) 893-9791(952) 841-7069 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Kate Kavanaugh, Ma Lp, Pa NPPES

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

KATE KAVANAUGH, MA LP, PA (NPI 1396714234) is a healthcare organization registered as a clinical in Eden Prairie, Minnesota and active in the NPI registry since March 2006. The organization lists Kathleen Marie Kavanaugh, President, as its authorized official.

NPPES Registry Identity

NPI1396714234

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKATE KAVANAUGH, MA LP, PA

Location Address9531 W. 78TH STREET, SUITE 110Eden Prairie, MN 55344

Mailing Address9531 W. 78th Street, Suite 110Eden Prairie, MN 55344 · (952) 893-9791 · Fax (952) 841-7069

Phone(952) 893-9791

Fax(952) 841-7069

Organization SubpartNo

Authorized OfficialKathleen Marie KavanaughPresident · (952) 893-9791

Enumeration DateMarch 14, 2006

Last NPPES UpdateJune 3, 2014

✔ NPI 1396714234 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 · LP2468

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.

9531 W. 78TH STREET, Eden Prairie, MN 55344

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Other Identifiers 4

Other61-16357MN · Medica

Other29G42KAMN · Bcbs

Other472664907MN · Valueoptions

Other440053400MN · Medical Assistance

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

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 Kate Kavanaugh, Ma LP, PA's NPI number?

The NPI number for Kate Kavanaugh, Ma LP, PA is 1396714234. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is Kate Kavanaugh, Ma LP, PA located?

Kate Kavanaugh, Ma LP, PA is located at 9531 W. 78th Street Suite 110, Eden Prairie, MN 55344. The listed phone number is (952) 893-9791.

What is Kate Kavanaugh, Ma LP, PA'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 Kate Kavanaugh, Ma LP, PA was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.