Katelynn Kazmierczak

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Practice address

2505 13TH Ave S Apt 113
Grand Forks, ND 58201-5185

Phone

(701) 215-5679

NPI assigned

Jul 16, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1275425142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 7TH AVE N APT 4",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582031895",
            "telephone_number": "212-731-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 13TH AVE S APT 113",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015185",
            "telephone_number": "701-215-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMIERCZAK",
        "first_name": "KATELYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Logan Kassa
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• Megan Jo Kaufman, MOTRL
• McKayla Dawn Kearney
• Tina M Kegler
• Beverly Keihn
• Brooke E Keller, SLP
• Kaylina Kelley, PA-C

• Health Service Psychologist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Health Service Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.