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

Kelsey Scampoli

Individual provider Psychologist · NPI 1043753049

Kelsey Scampoli is a Clinical Psychologist in Saint Paul, Minnesota. Qualified in 2015, 11 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2016
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Practice location Address checks out

1360 Energy Park Dr Ste 340
Saint Paul, MN 55108-5298
Phone: (651) 646-8985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6031 (MN)

Record details

NPI number1043753049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 22, 2016
Last updated in NPPESNovember 22, 2016
Mailing address1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298

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 Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Saint Paul