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Kate Kavanaugh, Ma Lp, PA

Clinical Psychologist in Eden Prairie, MN · enumerated 2006 · authorized official Kathleen Kavanaugh, President.

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

National Provider Identifier

1396714234

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Registry record

Entity type Organization (Type 2)
Legal business name Kate Kavanaugh, Ma Lp, PA
Practice address 9531 W. 78th Street, Suite 110, Eden Prairie, MN, 55344
Phone (952) 893-9791
Fax (952) 841-7069
Enumeration date Mar 14, 2006
Last updated in NPPES Jun 3, 2014

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License LP2468 (MN) Primary

Authorized official

Name Kathleen Kavanaugh
Title President
Phone (952) 893-9791

Other identifiers

Identifier Type State Issuer
440053400 Other MN MEDICAL ASSISTANCE
61-16357 Other MN MEDICA
472664907 Other MN VALUEOPTIONS
29G42KA Other MN BCBS

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.

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Frequently asked questions

What is the NPI number for Kate Kavanaugh, Ma Lp, PA?
The NPI for Kate Kavanaugh, Ma Lp, PA is 1396714234, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kate Kavanaugh, Ma Lp, PA?
NPPES lists Kathleen Kavanaugh (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-03.