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DR. KENT KODALEN PH.D.
NPI 1881006880
Psychologist - Clinical Child & Adolescent in Minneapolis, MN

Active since May 24, 2014
2525 CHICAGO AVE, MAIL STOP 17-217, MINNEAPOLIS, MN 55404(612) 813-7042 Get Directions Write a Review

NPPES record last updated: May 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kent Kodalen Ph.d. NPPES

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

DR. KENT KODALEN PH.D. (NPI 1881006880) is an individual clinical child & adolescent provider in Minneapolis, Minnesota, licensed in Minnesota (5742) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1881006880
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. KENT KODALENCredential: PH.D.
Location Address2525 CHICAGO AVE, MAIL STOP 17-217Minneapolis, MN 55404-4518
Mailing Address2525 Chicago Ave, Mail Stop 17-217Minneapolis, MN 55404-4518 · (612) 813-7042
Phone(612) 813-7042
Sole ProprietorYes
Enumeration DateMay 24, 2014
✔ NPI 1881006880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MN · 5742
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
2525 CHICAGO AVE, Minneapolis, MN 55404
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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.

CATHERINE ELAINE MCNAUGHTON LICSW
Social Worker (Clinical)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6138
DR. AIMEE KRISTEN SZNEWAJS MD
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 343-2121
DEREK PRZYBYLSKI
Nurse Practitioner (Neonatal)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (715) 207-9330
FARAH CASSIS-GHAVAMI MD
Pediatrics (Pediatric Infectious Diseases)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 220-6444
JAIME HENSEL APRN, FNP-BC
Nurse Practitioner (Family)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-7888
HOLLY MELISSA THOMPSON CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6000
PAUL D MELCHERT MD
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6107
RITA MARIE OUS
Nurse Anesthetist, Certified Registered
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (952) 992-5623

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 Kent Kodalen's NPI number?

The NPI number for Kent Kodalen is 1881006880. It was assigned to this individual provider in the NPPES registry on May 24, 2014.

Where is Kent Kodalen located?

Kent Kodalen practices at 2525 Chicago Ave Mail Stop 17-217, Minneapolis, MN 55404. The listed phone number is (612) 813-7042.

What is Kent Kodalen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Kent Kodalen was last updated on May 24, 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.