Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Autumn Olivia Kitzmann, LP, PSYD

Individual provider Clinical Psychologist · NPI 1477199305

Autumn Olivia Kitzmann, LP, PSYD is a Clinical Psychologist in New Brighton, Minnesota. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2019
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone: (651) 628-9566
Fax: (651) 628-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6640 Shady Oak Rd Ste 401, Eden Prairie, MN 55344-7834 — (715) 256-7166

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1477199305 (MN)

Record details

NPI number1477199305
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP , PSYD
Sole proprietorNo
NPI enumeratedNovember 26, 2019
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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