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KATHLEEN A DALY MA LP
NPI 1093421638
Psychologist - Clinical in Minneapolis, MN

Active since January 26, 2023Opted out of Medicare · through Nov 6, 2027
3005 JAMES AVE S STE 300, MINNEAPOLIS, MN 55408(612) 619-2878 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen A Daly Ma Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN A DALY MA LP (NPI 1093421638) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP3212) and active in the NPI registry since January 2023. She has opted out of Medicare through November 6, 2027.

NPPES Registry Identity

NPI1093421638
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHLEEN A DALYCredential: MA LP
Location Address3005 JAMES AVE S STE 300Minneapolis, MN 55408-2590
Mailing Address5012 Abbott Ave SMinneapolis, MN 55410-2141 · (612) 512-7250
Phone(612) 619-2878
Sole ProprietorYes
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1093421638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP3212
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3005 JAMES AVE S STE 300, Minneapolis, MN 55408
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathleen A Daly Ma Lp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2023 through November 6, 2027.

Opt-Out Effective DateNovember 6, 2023
Opt-Out In Effect ThroughNovember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Daly's NPI number?

The NPI number for Kathleen Daly is 1093421638. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Kathleen Daly located?

Kathleen Daly practices at 3005 James Ave S Ste 300, Minneapolis, MN 55408. The listed phone number is (612) 619-2878.

What is Kathleen Daly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kathleen Daly enrolled in Medicare?

No. Kathleen Daly has opted out of Medicare through November 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathleen Daly was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.