Kaitlyn Van Pay, PHD, LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

093352 Issued in IA

Practice address

1303 S Frontage Rd Ste 150
Hastings, MN 55033-2690

Phone

(514) 196-3626

Fax

(833) 597-4490

NPI assigned

Sep 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 12, 2023 through Jul 12, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Psychology Express Inc

  dba Nowlogy

  • Psychologist
  • Cypress, TX
  • NPI 1629591771
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1295386472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 JORDON AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163655",
            "telephone_number": "920-366-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S FRONTAGE RD STE 150",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332690",
            "telephone_number": "514-196-3626",
            "fax_number": "833-597-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PAY",
        "first_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP6929",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "093352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Tucker
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• Andrea Jeanne Urbach, OD
• Hannah Rae Vaden, AUD
• Nicholas Venosdel, MD
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• Beth Ellen Vongemmingen, LPCC, LADC
• Lynn Marie Wachtler, CNP
• Susan M Wagner, PT, CHT

• Counseling Psychologist in Hastings, MN
• Providers in Hastings, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.