Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629281530 Individual Practitioner Male Practitioner

Michael Cashman Kelly , MS - LP

Psychologist - Cognitive & Behavioral • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Michael Kelly, MS - LP is a registered healthcare professional specializing in Psychologist - Cognitive & Behavioral in Saint Cloud, MN. Practice services are available at 2025 STEARNS WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2025 Stearns Way

Saint Cloud, MN 563034491

Telephone 3202291500
Fax 3202291505
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Saint Cloud, MN (54 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License MN LP 4136

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Value Options
517402 (MN)
Commercial Insurance / Payer ID United Behavioral Health
62 - 64674 (MN)
Commercial Insurance / Payer ID Employee Id For State Of
00189405 (MN)
Commercial Insurance / Payer ID Blue Cross- Blue Shield
422T6KE (MN)
Commercial Insurance / Payer ID Mn Employee Id Number
00189405 (MN)
Commercial Insurance / Payer ID B.h.s.i.
13H51876KE (MN)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Thomas Kowalkowski , DO

Pain Medicine - Interventional Pain Medicine

NPI 1477569606

Doctor of Osteopathic Medicine (D.O.)

Dr. Carolyne Kukla , DPT

Physical Therapist

NPI 1528407426

Doctor of Physical Therapy

Dr. Matthew Baltus , DPT

Physical Therapist

NPI 1609342203

Doctor of Physical Therapy

Dr. Timothy Binsfeld , DPT

Physical Therapist

NPI 1669858023

Doctor of Physical Therapy

Dr. Michelle Burton , DPT

Physical Therapist

NPI 1730338377

Doctor of Physical Therapy

Kasi Zack , CNP

Nurse Practitioner - Family

NPI 1740888536

Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2025 STEARNS WAY, SAINT CLOUD, MN 563034491 (Tel: 3202291500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3600 W SAINT GERMAIN ST APT 256, SAINT CLOUD, MN 563014639 (Tel: 3202300191)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL KELLY, MS - LP

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

Psychologist (License #LP 4136 in MN)

🟢
Initial NPI Registration & Enumeration May 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Kelly. Be the first to share your experience!

Sign in to leave a review for Michael Kelly

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629281530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3600 W Saint Germain St Apt 256

Saint Cloud, MN 563014639

Phone: 3202300191

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.