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 provides Clinical Psychologist services 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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