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Active NPI 1700919073 Individual Practitioner Female Practitioner

Dr. Kerry Lynn Van Dusen , PSYD LP

Psychologist - Clinical • Duluth, MN

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kerry Van Dusen, PSYD LP is a registered Psychologist - Clinical practitioner in Duluth, MN. With approximately 29 years of clinical practice since completing medical education in 1997, Dr. Van Dusen provides healthcare services at the registered practice location at 324 W SUPERIOR ST.

Dr. Van Dusen accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

324 W Superior St
Suite 400

Duluth, MN 55802

Telephone 2187403026
Fax 2187403030
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Duluth, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +6.9 yrs vs City Avg
City Avg: 22.1 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
46 Specialists

Practicing in Duluth, MN (1595 Statewide)

Telehealth Adoption Rate
26.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
28.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Dusen (29 Years) 29 Yrs
Duluth Specialty Average (22.1 Years) 22.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
221 23 $219.32 $147.41
90791 Psychiatric diagnostic evaluation
15 15 $220.00 $165.81

Medical Specialties & State Licenses

CMS Verified: 2021-12-30
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MN LP4115

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
705222700 (MN)
Commercial Insurance / Payer ID Bcbs
174M6N0 (MN)
Commercial Insurance / Payer ID Bcbs
174M7VA (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1356486153

MSLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 30, 2021

Registered at 324 W SUPERIOR ST, SUITE 400, DULUTH, MN 55802 (Tel: 2187403026)

📍
Updated Business Mailing Address December 30, 2021

Registered at 324 W SUPERIOR ST, SUITE 400, DULUTH, MN 55802 (Tel: 2187403026)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 101 W 2ND ST, SUITE 100, DULUTH, MN 55802 (Tel: 2187403026)

📍
Updated Business Mailing Address July 08, 2007

Registered at 101 W 2ND ST, SUITE 100, DULUTH, MN 55802 (Tel: 2187403026)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KERRY VAN DUSEN, PSYD LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP4115 in MN)

🟢
Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700919073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: December 30, 2021
Sole Proprietor: No

Mailing Address

324 W Superior St, Suite 400

Duluth, MN 55802

Phone: 2187403026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.