Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kathleen Michelle Petersen, PHD

School Psychologist in Excelsior, MN · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609510858

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Registry record

Entity type Individual (Type 1)

Name Dr. Kathleen Michelle Petersen

Credential PHD

Sex Female

Practice address Excelsior, MN, 55331

Phone (612) 615-3575

Enumeration date Apr 25, 2022

Last updated in NPPES Apr 25, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TS0200X School Psychologist Behavioral Health & Social Service Providers · License 5567 (MN) Primary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kathleen Petersen?

The National Provider Identifier (NPI) for Kathleen Petersen is 1609510858, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kathleen Petersen practice?

The practice location on file with NPPES is in Excelsior, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-25.