Kathleen Marie Michaud, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY202738 Issued in ID

Practice address

5995 W State St Ste a
Garden City, ID 83703-3085

Phone

(208) 985-3340

Fax

(208) 629-1358

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

Yes

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 ID

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 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Kathleen Michaud PHD LLC

  • Clinical Psychologist
  • Meridian, ID
  • NPI 1427599885
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1992997837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140544",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837140544",
            "telephone_number": "208-985-3340",
            "fax_number": "208-629-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 W STATE ST STE A",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837033085",
            "telephone_number": "208-985-3340",
            "fax_number": "208-629-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY202738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Wright Lee, PT, DPT
• Living Resources of Idaho, LLC
• Connie Loosle
• Delores Maybach, NURSE PRACTITIONER
• Melissa Elaine McCaskill, NURSE PRACTITIONER
• Bradley A Miller, M.A. LMSW QSUDP
• David Miller, LPC
• Alyssa Milward, DC
• Serena Kathryn Moore, LMSW
• Gabriel Eli Morey, MD MPH

• Clinical Psychologist in Garden City, ID
• Providers in Garden City, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.