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

Dr. Kathryn Anne Wyman-Chick, PSYD, LP

Individual provider Clinical Psychologist · NPI 1710118054

Dr. Kathryn Anne Wyman-Chick, PSYD, LP is a Clinical Psychologist in Saint Paul, Minnesota. Qualified in 2015, 11 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Virginia.

Years since qualifying
11
Licensed in
MN, VA
In the registry since
2009
Specialties on file
4
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

295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone: (651) 495-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6701 Country Club Dr, Golden Valley, MN 55427-4602 — (952) 993-5495
  • 1215 Lee St Box 800203, Charlottesville, VA 22908-0816 — (434) 924-2718

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence LP6151 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP6151 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810005336 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710118054
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedAugust 4, 2009
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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