Individual provider Active NPI

Katherine M Flynn, PSY.D.

  • Psychologist
  • Kenosha, WI
National Provider Identifier
1376720359
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2986 Issued in WI
Practice address
12225 71St St
Kenosha, WI 53142-7320
Phone
(262) 948-4780
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2986 WI Primary

Addresses

Primary practice location

12225 71St St
Kenosha, WI 53142-7320

Mailing address

12225 71St St
Kenosha, WI 53142-7320
Phone (262) 948-4780

Other identifiers 1

IdentifierTypeStateIssuer
43728900MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kflynn219407@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150227001219 MT Practitioner - Clinical Psychologist 3476879990 Reassigns benefits to 1 organization
I20180514001430 WI Practitioner - Clinical Psychologist 3476879990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

700 N Lake Ave
Suite 102
Twin Lakes, WI 53181-9436
Phone (262) 877-2124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2986WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Mar 20, 2018 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Mar 20, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 31, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 31, 2018 Accepting new patients
Montana Telepsych Solutions Inc. CurrentSince Dec 20, 2014 Accepting new patients

Locations

4185 N Montana Ave
Ste 6
Helena, MT 59602
Phone (406) 442-2032

4185 N Montana Ave
Ste 5
Helena, MT 59602
Phone (406) 442-2032

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

12225 71st St
Kenosha, WI 53142
Phone (262) 948-4870

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2350 N Lake Dr
Ste G1
Milwaukee, WI 53211
Phone (414) 291-1556

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

700 N Lake Ave
Ste 102
Twin Lakes, WI 53181
Phone (262) 877-2124

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: kflynn219407@direct.myadvocateaurora.org

Organizations & group practices 5

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1376720359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 71ST ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427320",
            "telephone_number": "262-948-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 71ST ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427320",
            "telephone_number": "262-948-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43728900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kflynn219407@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12225 71st St",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531427320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "12225 71st St",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531427320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.