KSA PSYCHOLOGICAL SERVICES, LLC
KSA PSYCHOLOGICAL SERVICES, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1902306038, based in Minneapolis, MN. It is classified under Clinical Psychologist.
Getting there
The practice address on file is 5603 CHICAGO AVE., Minneapolis, MN 55417. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| LP4687 | MN | Clinical Psychologist primary |
| LP4679 | MN | Clinical Psychologist |
| LP4436 | MN | Clinical Psychologist |
This provider holds licence LP4687 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0648535054
- Enrollment ID
- O20180605001707
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical covers
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. NUCC Health Care Provider Taxonomy, code 103TC0700X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist Clinical | LP4687 | MN | primary |
| 103TC0700X | Clinical Psychologist Clinical | LP4679 | MN | |
| 103TC0700X | Clinical Psychologist Clinical | LP4436 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1902306038 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 15, 2018 |
| Last updated | Feb 15, 2018 |
| Status | Active |
| Practice address |
5603 CHICAGO AVE. Minneapolis, MN 55417 (612) 298-9587 |
| Mailing address |
1034 BROMPTON PLACE Mendota Heights, MN 55118 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 0 | 2 | 3 | 0 | 6 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 0 | 2 | 6 | 0 | 3 | 0 | 6 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.