DR. KELLY S PETSKA PH.D.
NPI 1396945390
Psychologist in Minneapolis, MN

Active since July 19, 2007
1 VETERANS DR, MINNEAPOLIS, MN 55417(612) 467-3039(612) 727-5964 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelly S Petska Ph.d. NPPES

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

DR. KELLY S PETSKA PH.D. (NPI 1396945390) is an individual psychologist in Minneapolis, Minnesota and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1396945390
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KELLY S PETSKACredential: PH.D.
Location Address1 VETERANS DRMinneapolis, MN 55417-2309
Mailing AddressOne Veterans DriveMinneapolis, MN 55417-2309 · (612) 467-3039 · Fax (612) 727-5964
Fax(612) 727-5964
Sole ProprietorYes
Enumeration DateJuly 19, 2007
NPI 1396945390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.

1 VETERANS DR, Minneapolis, MN 55417

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.

Nurse Practitioner (Family)
1 VETERANS DR, 111H
MINNEAPOLIS, MN 55417
Pharmacist (Psychiatric)
1 VETERANS DR, VA MEDICAL CENTER
MINNEAPOLIS, MN 55417
Internal Medicine (Pulmonary Disease)
1 VETERANS DR, PULMONARY 111N
MINNEAPOLIS, MN 55417
Psychologist (Clinical)
1 VETERANS DR, # 116A
MINNEAPOLIS, MN 55417
Internal Medicine (Hematology & Oncology)
1 VETERANS DR, 111E MINNEAPOLIS VETERANS AFFAIRS MEDICAL CENTER
MINNEAPOLIS, MN 55417
Physician Assistant (Medical)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Psychologist (Clinical)
1 VETERANS DR, 116B
MINNEAPOLIS, MN 55417
Nurse Anesthetist, Certified Registered
1 VETERANS DR
MINNEAPOLIS, MN 55417

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 Kelly Petska's NPI number?

The NPI number for Kelly Petska is 1396945390. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Kelly Petska located?

Kelly Petska practices at 1 Veterans Dr, Minneapolis, MN 55417. The listed phone number is (612) 467-3039.

What is Kelly Petska'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 Kelly Petska was last updated on July 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.