DR. AMANDA WENZEL KALSTABAKKEN PHD
NPI 1649819665
Psychologist in Minneapolis, MN

Active since December 23, 2019PECOS Enrolled
2512 S 7TH ST, MINNEAPOLIS, MN 55454(612) 365-6777(612) 365-8001 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Feb 24, 2020, Dec 27, 2019 (3 updates tracked since 2019).

About Dr. Amanda Wenzel Kalstabakken Phd NPPES

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

DR. AMANDA WENZEL KALSTABAKKEN PHD (NPI 1649819665) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP6427) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649819665
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMANDA WENZEL KALSTABAKKENCredential: PHD
Location Address2512 S 7TH STMinneapolis, MN 55454-1404
Mailing Address2512 S 7th StMinneapolis, MN 55454-1404
Fax(612) 365-8001
Sole ProprietorNo
Enumeration DateDecember 23, 2019
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1649819665 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 · LP6427
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 ListedClinical NeuropsychologistTaxonomy 103G00000X · License LP6427 (MN)
2512 S 7TH ST, Minneapolis, MN 55454

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Amanda Wenzel Kalstabakken Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pediatrics (Pediatric Nephrology)
2512 S 7TH ST, PEDIATRIC SPECIALTY CARE
MINNEAPOLIS, MN 55454
Occupational Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Physical Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Psychologist (Clinical Child & Adolescent)
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Pharmacy (Specialty Pharmacy)
2512 S 7TH ST, STE 105
MINNEAPOLIS, MN 55454
Pediatrics (Pediatric Gastroenterology)
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Physical Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics)
2512 S 7TH ST
MINNEAPOLIS, MN 55454

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 Amanda Kalstabakken's NPI number?

The NPI number for Amanda Kalstabakken is 1649819665. It was assigned to this individual provider in the NPPES registry on December 23, 2019.

Where is Amanda Kalstabakken located?

Amanda Kalstabakken practices at 2512 S 7th St, Minneapolis, MN 55454. The listed phone number is (612) 365-6777.

What is Amanda Kalstabakken's specialty?

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

Is Amanda Kalstabakken enrolled in Medicare?

Yes. Amanda Kalstabakken is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Kalstabakken accept?

Health plans from Sanford Health Plan list Amanda Kalstabakken as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Kalstabakken was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.