Katherine Ann Carosella, PHD
Individual provider Active NPI Psychologist · Wayzata, MN
NPI 1720901424 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1720901424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- LP7373 (MN)
- Practice address
- 1907 Wayzata Blvd Ste 100
Wayzata, MN 55391-2064 - Phone
- (717) 344-4723
- NPI assigned
- Jul 31, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP7373 | MN | Yes |
Addresses
Primary practice location
1907 Wayzata Blvd Ste 100
Wayzata, MN 55391-2064
Mailing address
17089 76TH PL N
Maple Grove, MN 55311-3741
Other names
- Kate Carosella
Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.