Katelyn Ann Mickelson
NPI 1427431279ActiveIndividual· Psychologist· Fargo, ND
Psychologist in Fargo, North Dakota, licensed in ND and MN, with an NPI issued in June 2015. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1427431279 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 29, 2015 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 622 | ND |
| Psychologist | 103T00000X | 609P | ND |
| Psychologist, Clinical | 103TC0700X | LP6215 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ND) |
|---|
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