KENNETH GERARD FOGAL MS VP
NPI 1104800960
Psychologist in Crosby, MN

NPI Status: Active since December 05, 2005

Contact Information

318 E MAIN ST
CENTRAL LAKES MEDICAL CLINIC ,PA
CROSBY, MN
ZIP 56441
Phone: (218) 546-8375
Fax: (218) 546-4400

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  • Individual
  • Male
  • Psychologist

About KENNETH FOGAL

This page provides the complete NPI Profile along with additional information for Kenneth Fogal, a provider established in Crosby, Minnesota with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1104800960 assigned on December 2005. The practitioner's primary taxonomy code is 103T00000X with license number LP0270 (MN). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1104800960
Provider Name
KENNETH GERARD FOGAL MS VP
Gender
Male
Entity Type
Individual
Location Address
318 E MAIN ST CENTRAL LAKES MEDICAL CLINIC ,PA CROSBY, MN 56441
Location Phone
(218) 546-8375
Location Fax
(218) 546-4400
Mailing Address
318 E MAIN ST CROSBY, MN 56441
Mailing Phone
(218) 546-8375
Mailing Fax
(218) 546-4400
Is Sole Proprietor?
Yes
Enumeration Date
12-05-2005
Last Update Date
07-08-2007
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A psychologist like Kenneth Fogal studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
LP0270
License State
MN
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104800960
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041600912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 0 + 0 + 9 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104800960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326022179 TERRY ALAN MAY MD
Individual
Family Medicine318 E MAIN ST
CROSBY, MN 56441
(218) 546-8375
1164407110 GAYLE ROGERS COUSINS MS FAAA
Individual
Audiologist318 E MAIN ST CENTRAL LAKES MEDICAL CLINIC PA
CROSBY, MN 56441
(218) 546-8375
1861434151CROSBY CARDIOVASCULAR SERVICES, LLC
Organization
Clinic/Center318 E MAIN ST
CROSBY, MN 56441
(218) 546-4334
1245666809 JENNA CHRISTINE ROBERTS MHS PA-C
Individual
Physician Assistant318 E MAIN ST
CROSBY, MN 56441
(218) 546-2502
1336168905 CLAY D SCHULTE M.D.
Individual
Emergency Medicine318 E MAIN ST
CROSBY, MN 56441
(218) 546-2502
1700938214RIDGEVIEW CLINICS
Organization
Otolaryngology318 E MAIN ST
CROSBY, MN 56441
(888) 420-2778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104800960, enumerated in the NPI registry as an "individual" on December 05, 2005

The provider is located at 318 E Main St Central Lakes Medical Clinic ,pa Crosby, Mn 56441 and the phone number is (218) 546-8375

The provider's speciality is Psychologist with taxonomy code 103T00000X

This NPI record was last updated on December 05, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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