Kiah G. Staloch, PSYD
NPI 1619344900ActiveIndividual· Psychologist, Clinical· Detroit Lakes, MN
Psychologist, Clinical (PSYD) with Eagan Counseling Clinic, practicing in Detroit Lakes, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1619344900 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Aug 21, 2015 |
| Last updated in NPPES | Jun 24, 2021 |
| Certified by provider | Jun 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP6386 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Eagan Counseling ClinicEagan, MN · 61 clinicians
Other clinical psychologists in Detroit Lakes
- 1053526731
- 1235177841
- 1427388040
- 1578829032
- 1407124332
- 1750321733
- 1427274729
- 1760439624