OrganizationActive
Kathlyn Nelson PHD LLC
NPI 1609008010 · Community/Behavioral Health Agency · Woodbury, MN
Provider details
- NPI number
- 1609008010
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kathlyn Nelson, Sole Proprietor(651) 341-9667
- License
- LP 3967 (MN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
7616 Currell Blvd
Ste. 280
Woodbury, MN 55125-2290
Phone: (651) 341-9667
Fax: (651) 735-7527
Street-level locationGet directions
Mailing address
2546 Dorothy Ave
White Bear Lake, MN 55110-4911
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.