Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ksa Psychological Services, LLC

Organization Clinical Psychologist · NPI 1902306038

Ksa Psychological Services, LLC is a Clinical Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5603 Chicago Ave
Minneapolis, MN 55417
Phone: (612) 298-9587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP4687 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP4679 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP4436 (MN)

Record details

NPI number1902306038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Scott — Co-Owner/Manager · (612) 298-9587
NPI enumeratedFebruary 15, 2018
Last updated in NPPESFebruary 15, 2018
Mailing address1034 Brompton Place, Mendota Heights, MN 55118

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