DR. KEVIN JAMES MCKITTRICK PSYD
NPI 1932759842
Clinical Neuropsychologist in Roseville, MN

Q: What is Kevin Mckittrick's NPI number?

The NPI number for Kevin Mckittrick is 1932759842. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Q: What is Kevin Mckittrick's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mckittrick was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 13, 2019PECOS Enrolled

2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113(651) 241-5290 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Feb 7, 2022, Mar 26, 2021 and 2 more (5 updates tracked since 2019).

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About Dr. Kevin James Mckittrick Psyd NPPES

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

DR. KEVIN JAMES MCKITTRICK PSYD (NPI 1932759842) is an individual clinical neuropsychologist in Roseville, Minnesota, licensed in (PY-60967347) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932759842

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. KEVIN JAMES MCKITTRICKCredential: PSYD

Location Address2720 FAIRVIEW AVE N STE 100Roseville, MN 55113-1306

Mailing Address2720 Fairview Ave N Ste 100Roseville, MN 55113-1306 · (781) 420-6815

Phone(651) 241-5290

Sole ProprietorNo

Enumeration DateSeptember 13, 2019

Last NPPES UpdateNovember 21, 20255 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1932759842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed · PY-60967347

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License LP6670 (MN), PY.60967347 (WA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PY60967347 (WA)

2720 FAIRVIEW AVE N STE 100, Roseville, MN 55113

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin James Mckittrick Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

PAUL BRIAN ATKINSON M.D.

Psychiatry & Neurology (Neurology)

2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 241-5290

DR. SUZANNE A MOSELEY PHD

Clinical Neuropsychologist

2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 241-5290

CHRISTA NICOLE STOUT PA-C

Physician Assistant

2720 FAIRVIEW AVE N STE 100
SAINT PAUL, MN 55113

Ramsey County (651) 241-5290

ALEXIS MILDRED MYHRE PA-C

Physician Assistant

2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 241-5290

KEVIN M HARRINGTON PHD LP

Psychologist

2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 241-5290

NATALIE SCHNEIDER NP

Nurse Practitioner (Family)

2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 241-5290

BRYAN MENDES M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 241-5290

DR. ERIN MCKAY WARDZALA PHD, LP

Clinical Neuropsychologist

2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 241-5290

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 Kevin Mckittrick's NPI number?

The NPI number for Kevin Mckittrick is 1932759842. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Kevin Mckittrick located?

Kevin Mckittrick practices at 2720 Fairview Ave N Ste 100, Roseville, MN 55113. The listed phone number is (651) 241-5290.

What is Kevin Mckittrick's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Kevin Mckittrick enrolled in Medicare?

Yes. Kevin Mckittrick is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Mckittrick accept?

Health plans from Sanford Health Plan list Kevin Mckittrick 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 Kevin Mckittrick was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.