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Kelly Ann Chaudoin-Patzoldt, PSYD, LP

NPI 1417457318ActiveIndividual· Psychologist· Duluth, MN

Psychologist (PSYD, LP) with St. Luke's Hospital of Duluth, practicing in Duluth, Minnesota. Medicare paid $5,954 for services to 16 patients in 2024. Lists St Lukes Hospital as a hospital affiliation.

Overview

NPI1417457318
StatusActive
Entity typeIndividual
CredentialPSYD, LP
Sole proprietorNo
NPI issuedFeb 16, 2018
Last updated in NPPESFeb 16, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X6218MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients16
Services billed114 across 12 procedure codes
Paid by Medicare$5,954

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyClinical Psychologist
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

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