Carolyn Clara Klehr, PSY.D, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5482 Issued in MN

Practice address

1339 Pelican LN
Detroit Lakes, MN 56501-2726

Phone

(218) 847-8572

Fax

(218) 847-6113

NPI assigned

Apr 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, ND2 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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.73 of 100Reported as group

Quality

71.75

Promoting interoperability

100

Improvement activities

40

Cost

70.68

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sanford Medical Center Fargo

  • Family Medicine Physician
  • West Fargo, ND
  • NPI 1184917924

  MN

  Medicare reassignment Care Compare group NPD
• Lakes Crisis & Resource Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit Lakes, MN
  • NPI 1720344286
  NPD
• Sanford Medical Center Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1528009412
  NPD

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1578829032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565020394",
            "telephone_number": "218-847-8572",
            "fax_number": "218-847-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 PELICAN LN",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012726",
            "telephone_number": "218-847-8572",
            "fax_number": "218-847-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEHR",
        "first_name": "CAROLYN",
        "middle_name": "CLARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Ketelhut
• Heather A Kiebke, DPT
• Anna Kinneberg
• Richard Neal Kittelson, ABOC
• Janell Kjos, FNP, BC
• Nina Marie Kleinschmidt, PHARMD
• Michele Joanne Knoblich, OT
• Todd Byron Knopf
• Larry Dean Kobriger, MD
• Stephanie Joy Koehler, NP

• Clinical Psychologist in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.

Verify at the official NPI Registry.