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

Kelly M Spanier

Individual provider Psychologist · NPI 1588270557

Kelly M Spanier is a Clinical Psychologist in Plymouth, Minnesota. Qualified in 2021, 5 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Nebraska.

Years since qualifying
5
Licensed in
MN, NE
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4155 County Road 101 N
Plymouth, MN 55446-2307
Phone: (952) 993-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1025 Marsh St, Mankato, MN 56001-4752 — (507) 625-4031
  • 42nd And Dewey St, Omaha, NE 68198-1023 — (402) 552-6007

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6848 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 12306 (NE)

Record details

NPI number1588270557
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Plymouth