KIAH G STALOCH PSYD
NPI 1619344900
Psychologist - Clinical in Detroit Lakes, MN

Active since August 21, 2015PECOS EnrolledAccepts Medicare Assignment
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-5611 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2021, Apr 26, 2019 (2 updates tracked since 2019).

About Kiah G Staloch Psyd NPPES

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

KIAH G STALOCH PSYD (NPI 1619344900) is an individual clinical provider in Detroit Lakes, Minnesota, licensed in Minnesota (LP6386) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619344900
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKIAH G STALOCHCredential: PSYD
Location Address1027 WASHINGTON AVEDetroit Lakes, MN 56501-3409
Mailing Address1702 University Dr SFargo, ND 58103-4940 · (701) 364-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 21, 2015
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1619344900 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 · LP6386
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.
1027 WASHINGTON AVE, Detroit Lakes, MN 56501

Secondary Practice Locations 2

Location 13548 Bryant Ave SMinneapolis, MN 55408-4119 · Phone (612) 822-8227
Location 21009 Hollinger StPark Rapids, MN 56470-1300 · Phone (218) 252-2785

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

Kiah G Staloch 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 ID749682011
PECOS Enrollment IDI20210708002411
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Family Medicine
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Occupational Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Physician Assistant
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Nurse Practitioner (Family)
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Physical Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Physical Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Psychologist (Clinical)
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501

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 Kiah Staloch's NPI number?

The NPI number for Kiah Staloch is 1619344900. It was assigned to this individual provider in the NPPES registry on August 21, 2015.

Where is Kiah Staloch located?

Kiah Staloch practices at 1027 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 847-5611.

What is Kiah Staloch's specialty?

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

Is Kiah Staloch enrolled in Medicare?

Yes. Kiah Staloch 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 Kiah Staloch accept?

Health plans from HealthPartners list Kiah Staloch 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.

When was this NPI record last updated?

The NPPES record for Kiah Staloch was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.