IndividualActive
Jack Kasl, PH.D.
NPI 1174614150 · Clinical Psychologist · Forest Lake, MN
Jack Kasl, PH.D. is a Clinical Psychologist provider in Forest Lake, MN (NPI 1174614150).
Provider details
- NPI number
- 1174614150
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP1955 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1790 11th St Se
Forest Lake, MN 55025-1968
Phone: (612) 867-8451
Fax: (763) 552-0787
Street-level locationGet directions
Mailing address
3095 Norway Cir S
Cambridge, MN 55008-2670
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Kasl's NPI number?
- Jack Kasl's National Provider Identifier (NPI) is 1174614150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Kasl's specialty?
- Jack Kasl is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jack Kasl located?
- Jack Kasl's practice location on file with NPPES is 1790 11th St Se, Forest Lake, MN 55025-1968.
- What is Jack Kasl's phone number?
- The practice phone number listed in the NPPES registry for Jack Kasl is (612) 867-8451.
- Is Jack Kasl's NPI active?
- Yes — Jack Kasl's NPI (1174614150) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.