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KSA PSYCHOLOGICAL SERVICES, LLC
NPI 1902306038
Psychologist - Clinical in Minneapolis, MN

Active since February 15, 2018
5603 CHICAGO AVE., MINNEAPOLIS, MN 55417(612) 298-9587 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ksa Psychological Services, Llc NPPES

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

KSA PSYCHOLOGICAL SERVICES, LLC (NPI 1902306038) is a healthcare organization registered as a clinical in Minneapolis, Minnesota and active in the NPI registry since February 2018. The organization lists Angela Scott, Co-owner/manager, as its authorized official.

NPPES Registry Identity

NPI1902306038
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKSA PSYCHOLOGICAL SERVICES, LLC
Location Address5603 CHICAGO AVE.Minneapolis, MN 55417
Mailing Address1034 Brompton PlaceMendota Heights, MN 55118 · (612) 998-9587
Phone(612) 298-9587
Organization SubpartNo
Authorized OfficialAngela ScottCo-owner/manager · (612) 298-9587
Enumeration DateFebruary 15, 2018
✔ NPI 1902306038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MN · LP4687✔ Licensed in MN · LP4679✔ Licensed in MN · LP4436
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.
5603 CHICAGO AVE., Minneapolis, MN 55417
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ksa Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ksa Psychological Services, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Kathryn Christensen, L.P.
Clinical Psychologist
NPI 1790867315
3300 EDINBOROUGH WAY STE 370
Edina, MN 55435
(612) 309-3859
✔ PECOS✔ Accepts Medicare3.9 mi
Shannon Odonnell, L.P.
Clinical Psychologist
NPI 1053483453
2550 UNIVERSITY AVE W SUITE 314N
Saint Paul, MN 55114
(651) 645-5323
✔ PECOS✔ Accepts Medicare5.3 mi
Angela Scott, LP
Clinical Psychologist
NPI 1386696110
2265 COMO AVE
Saint Paul, MN 55108
(651) 645-5323
✔ PECOS✔ Accepts Medicare6.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ksa Psychological Services, LLC's NPI number?

The NPI number for Ksa Psychological Services, LLC is 1902306038. It was assigned to this organization in the NPPES registry on February 15, 2018.

Where is Ksa Psychological Services, LLC located?

Ksa Psychological Services, LLC is located at 5603 Chicago Ave., Minneapolis, MN 55417. The listed phone number is (612) 298-9587.

What is Ksa Psychological Services, LLC's specialty?

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

Is Ksa Psychological Services, LLC enrolled in Medicare?

Yes. Ksa Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ksa Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Ksa Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ksa Psychological Services, LLC accept?

Health plans from HealthPartners list Ksa Psychological Services, LLC 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 Ksa Psychological Services, LLC was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.