Individual provider Active NPI

Kristine Marie Wainright-Tadych, LP

  • Psychologist
  • Sartell, MN
National Provider Identifier
1376753418
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP 5111 Issued in MN
Practice address
1908 Kruchten CT S
Sartell, MN 56377-4645
Phone
(320) 290-0693
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP 5111 MN Primary

Addresses

Primary practice location

1908 Kruchten CT S
Sartell, MN 56377-4645

Mailing address

1670 43Rd St NW
Sauk Rapids, MN 56379-0000
Phone (320) 290-0693

Other practice location 1

1905 Kruchten Ct S
Sartell, MN 56377-4645
Phone (320) 290-0693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP 5111MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Therapy Services LLC Current Accepting new patients
Foundations Autism Center LLC CurrentSince Dec 13, 2022 Accepting new patients
Northway Academy, Inc. PastSince Dec 1, 2022 Accepting new patients
Northway Academy, Inc. PastSince Dec 1, 2022 Accepting new patients

Locations

1908 Kruchten Ct S
Sartell, MN 56377
Phone (320) 640-7660

1905 Kruchten Ct S
Sartell, MN 56377
Phone (320) 290-0693

Organizations & group practices 4

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1376753418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 43RD ST NW",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563790000",
            "telephone_number": "320-290-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 KRUCHTEN CT S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774645",
            "telephone_number": "320-290-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Kruchten Ct S",
            "address_purpose": "LOCATION",
            "city": "Sartell",
            "state": "MN",
            "postal_code": "563774645",
            "country_code": "US",
            "telephone_number": "320-290-0693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAINRIGHT-TADYCH",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 5111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.