KATELYN VAN DOORN PSYD
NPI 1184075384
Psychologist in Dover, NH

Active since June 29, 2016PECOS EnrolledAccepts Medicare Assignment
10 MEMBERS WAY STE 300, DOVER, NH 03820(603) 749-0913 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Mar 7, 2023, Jan 30, 2023 and 3 more (6 updates tracked since 2016).

About Katelyn Van Doorn Psyd NPPES

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

KATELYN VAN DOORN PSYD (NPI 1184075384) is an individual psychologist in Dover, New Hampshire, licensed in New Hampshire (1630) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Wentworth-douglass Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184075384
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATELYN VAN DOORNCredential: PSYD
Location Address10 MEMBERS WAY STE 300Dover, NH 03820-5933
Mailing AddressPo Box 412503Boston, MA 02241-2620 · (617) 726-3884
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 29, 2016
Last NPPES UpdateMay 13, 20256 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1184075384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NH · 1630
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
10 MEMBERS WAY STE 300, Dover, NH 03820

Secondary Practice Locations 2

Location 1735 North DrHopkinsville, KY 42240-2620 · Phone (270) 886-5163
Location 273 Corporate Dr Ste 200Portsmouth, NH 03801-2847 · Phone (603) 610-8075

Other Identifiers 1

Medicaid3139079NH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katelyn Van Doorn Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901278621
PECOS Enrollment IDI20230207000261
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
115 services23 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
92 services25 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
25 services25 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
24 services24 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
22 services22 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
10 MEMBERS WAY STE 300
DOVER, NH 03820
Psychiatry & Neurology (Neurology)
10 MEMBERS WAY STE 300
DOVER, NH 03820
Psychiatry & Neurology (Neurology)
10 MEMBERS WAY STE 300
DOVER, NH 03820
Psychiatry & Neurology (Neurology)
10 MEMBERS WAY STE 300
DOVER, NH 03820
Physician Assistant
10 MEMBERS WAY STE 300
DOVER, NH 03820
Psychiatry & Neurology (Vascular Neurology)
10 MEMBERS WAY STE 300
DOVER, NH 03820
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
10 MEMBERS WAY STE 300
DOVER, NH 03820
Psychiatry & Neurology (Neurology)
10 MEMBERS WAY STE 300
DOVER, NH 03820

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 Katelyn Van Doorn's NPI number?

The NPI number for Katelyn Van Doorn is 1184075384. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Katelyn Van Doorn located?

Katelyn Van Doorn practices at 10 Members Way Ste 300, Dover, NH 03820. The listed phone number is (603) 749-0913.

What is Katelyn Van Doorn's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Katelyn Van Doorn enrolled in Medicare?

Yes. Katelyn Van Doorn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katelyn Van Doorn accept?

Health plans from Harvard Pilgrim Health Care and Providence Health Plan list Katelyn Van Doorn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katelyn Van Doorn affiliated with any hospitals?

According to CMS data, Katelyn Van Doorn is affiliated with Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Van Doorn was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.