Individual provider Active NPI

Katie Shay Jalma, PH.D., L.P.

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1144523804
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5314 Issued in MN
Practice address
790 Cretin Ave. S.
Suite 201
Saint Paul, MN 55116
Phone
(612) 486-2742
Fax
(612) 486-8021
NPI assigned
Dec 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP5314 MN
Clinical Psychologist 103TC0700X LP5314 MN Primary

Addresses

Primary practice location

790 Cretin Ave. S.
Suite 201
Saint Paul, MN 55116

Mailing address

2829 39TH Ave S
Minneapolis, MN 55406-1848
Phone (612) 486-2742

Other practice location 1

5101 Olson Memorial Hwy Ste 4001
Golden Valley, MN 55422-5164
Phone (612) 486-2742

Other names 1

  • Katie Saije Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000684 MN Practitioner - Clinical Psychologist 5496939761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1144523804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 39TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061848",
            "telephone_number": "612-486-2742",
            "fax_number": "612-486-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CRETIN AVE. S.",
            "address_2": "SUITE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "612-486-2742",
            "fax_number": "612-486-8021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 Olson Memorial Hwy Ste 4001",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554225164",
            "country_code": "US",
            "telephone_number": "612-486-2742",
            "fax_number": "612-486-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALMA",
        "first_name": "KATIE",
        "middle_name": "SHAY",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5314",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SAIJE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.