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DR. KATHERINE ANNE KEGAN PHD
NPI 1649328014
Psychologist - Adult Development & Aging in Minneapolis, MN

Active since January 08, 2007Opted out of Medicare · through Jul 1, 2028
314 CLIFTON AVE, SUITE 103, MINNEAPOLIS, MN 55403(612) 870-0980(612) 872-3686 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Katherine Anne Kegan Phd NPPES

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

DR. KATHERINE ANNE KEGAN PHD (NPI 1649328014) is an individual adult development & aging provider in Minneapolis, Minnesota, licensed in Minnesota (LP0162) and active in the NPI registry since January 2007. She has opted out of Medicare through July 1, 2028 and is a graduate of University Of Minnesota Medical School (1981).

NPPES Registry Identity

NPI1649328014
Entity TypeIndividualFemale
Primary Taxonomy103TA0700X
Provider Legal NameDR. KATHERINE ANNE KEGANCredential: PHD
Location Address314 CLIFTON AVE, SUITE 103Minneapolis, MN 55403-3235
Mailing Address314 Clifton Ave, Suite 103Minneapolis, MN 55403-3235 · (612) 870-0980 · Fax (612) 872-3686
Phone(612) 870-0980
Fax(612) 872-3686
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1981
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1649328014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
License✔ Licensed in MN · LP0162
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
Also ListedPsychologistTaxonomy 103T00000X · License LP0162 (MN)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License LP0162 (MN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP0162 (MN)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License LP0162 (MN)
314 CLIFTON AVE, Minneapolis, MN 55403
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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

Dr. Katherine Anne Kegan Phd 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 July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

ELENA OREN
Massage Therapist
314 CLIFTON AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 865-8771
BOONE COUNSELING SERVICES, PLLC
Counselor (Mental Health)
314 CLIFTON AVE, SUITE 200C
MINNEAPOLIS, MN 55403
Hennepin County (612) 454-9798
DR. KATHERINE KEGAN, LTD
Psychologist (Clinical)
314 CLIFTON AVE, SUITE 103
MINNEAPOLIS, MN 55403
Hennepin County (612) 870-0980

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 Katherine Kegan's NPI number?

The NPI number for Katherine Kegan is 1649328014. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Katherine Kegan located?

Katherine Kegan practices at 314 Clifton Ave Suite 103, Minneapolis, MN 55403. The listed phone number is (612) 870-0980.

What is Katherine Kegan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is Katherine Kegan enrolled in Medicare?

No. Katherine Kegan has opted out of Medicare through July 1, 2028. 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 Katherine Kegan was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.