Active NPI
Kristine Marie Wainright-Tadych, LP
- Psychologist
- Sartell, MN
National Provider Identifier
1376753418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP 5111
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LP 5111 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Therapy Services LLC | Current | Accepting new patients | |
| Foundations Autism Center LLC | Current | Accepting new patients | |
| Northway Academy, Inc. | Past | Accepting new patients | |
| Northway Academy, Inc. | Past | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Sartell, MN
- NPI 1255041992
-
- Mental Health Occupational Therapist
- Sartell, MN
- NPI 1073466801
-
- Developmental Disabilities Clinic/Center
- Saint Cloud, MN
- NPI 1104333715
-
- Community/Behavioral Health Agency
- Sartell, MN
- NPI 1841852639
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.