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

Dr. Matthew Kingsbury, PSYD, LP

Individual provider Psychologist · NPI 1104224120

Dr. Matthew Kingsbury, PSYD, LP is a Clinical Psychologist in Maple Grove, Minnesota. Qualified in 2019, 7 years ago. Practices with Parker Collins Family Mental Health PLLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2014
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

11316 86th Ave N
Maple Grove, MN 55369-4528
Phone: (763) 400-8000
Fax: (763) 400-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6684 (MN)

Record details

NPI number1104224120
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedDecember 8, 2014
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Parker Collins Family Mental Health Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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