KIMBERLEY R MONDEN PH.D.
NPI 1922301258
Psychologist in Minneapolis, MN

Active since December 08, 2010PECOS Enrolled
81.72/100
CMS Quality Rating
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 672-7422 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Mar 19, 2020 (2 updates tracked since 2020).

About Kimberley R Monden Ph.d. NPPES

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

KIMBERLEY R MONDEN PH.D. (NPI 1922301258) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP6576) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922301258
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIMBERLEY R MONDENCredential: PH.D.
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address909 N Washington AveDallas, TX 75246-1520 · (214) 820-9315
Sole ProprietorNo
Enumeration DateDecember 8, 2010
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
NPI 1922301258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MN · LP6576 Licensed in CO · PSY.0004537
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.
909 FULTON ST SE, Minneapolis, MN 55455

Secondary Practice Locations 2

Location 12450 Riverside AveMinneapolis, MN 55454-1400 · Phone (612) 273-3000 · Fax (612) 273-4370
Location 2720 Washington Ave SEMinneapolis, MN 55414-2924 · Phone (612) 672-7422

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberley R Monden Ph.d. 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455

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 Kimberley Monden's NPI number?

The NPI number for Kimberley Monden is 1922301258. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Kimberley Monden located?

Kimberley Monden practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.

What is Kimberley Monden's specialty?

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

Is Kimberley Monden enrolled in Medicare?

Yes. Kimberley Monden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberley Monden was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.