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

Individual provider Mental Health Counselor · NPI 1689050460

Katherine Moeller, PSYD, HSPP is a Clinical Psychologist in Fort Wayne, Indiana. Qualified in 2018, 8 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2015
Specialties on file
2
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

2200 Lake Ave Ste 260
Fort Wayne, IN 46805-5351
Phone: (260) 424-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1722 S Lewis Rd, Camarillo, CA 93012-8520 — (805) 366-4040

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20043410A (IN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1689050460
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , HSPP
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESDecember 18, 2020
Certification dateDecember 18, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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