Active NPI
Katherine M Flynn, PSY.D.
- Psychologist
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2986
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43728900 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2986 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Montana Telepsych Solutions Inc. | Current | 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
- 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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Psychiatric/Mental Health Nurse Practitioner
- Helena, MT
- NPI 1003243064
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.