KATHLEEN MARIE LAURIN (PHD, LP) – Psychologist, NPI 1689650657

KATHLEEN MARIE LAURIN (PHD, LP) is a healthcare provider. based in Des moines, Iowa. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD, LP. They hold a License No. LP4338 (MN). The NPI Number for KATHLEEN MARIE LAURIN (PHD, LP) is 1689650657

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MARIE LAURIN (PHD, LP)
NPI
1689650657
Phone
(515) 282-5748
Address
1801 HICKMAN RD
Enumeration Date
21 December 2005
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
5152711707
Graduation Year
2000 (26 years ago)
PAC ID
1850459496
Group Practice PAC ID
6002713443
Professional Enrollment ID
I20081025000069
Address ID
IA503124104DE3200XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

192 CLINICAL PSYCHOLOGIST in IA

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Provider Addresses for KATHLEEN MARIE LAURIN (PHD, LP)

  • Broadlawns Medical Center, 1801, Hickman Road, Des Moines, Polk County, Iowa, 50314, United States

    DES MOINES, IA 503141505

    Phone: (515) 282-5748

    Fax: (515) 282-5642

    Type: Mailing

  • 3200 GRAND AVE

    DES MOINES, IA 503124104

    Phone: (515) 271-1716

    Fax: (515) 271-1726

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081025000069IClinical PsychologistIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002713443View full group profile
NameSpecialtyState
P O D I A T R YWA
-IA
-IA
Physical Therapist In Private PracticeIL
P O D I A T R YIA
P O D I A T R YIA
Diagnostic RadiologyIA
Diagnostic RadiologyOK
Internal Medicine, Osteopathic Manipulative Medicine, Pediatric MedicineIA
-IA

Reviews

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Frequently asked questions

What unique ID ties claims to KATHLEEN MARIE LAURIN (PHD, LP)?
NPI 1689650657 is assigned to KATHLEEN MARIE LAURIN (PHD, LP) under the national enumeration system.
Is KATHLEEN MARIE LAURIN (PHD, LP) active in the national directory?
KATHLEEN MARIE LAURIN (PHD, LP)'s public NPI profile is in an active state.
Can you summarize KATHLEEN MARIE LAURIN (PHD, LP)'s specialty in plain language?
Clinically, the directory lists KATHLEEN MARIE LAURIN (PHD, LP) with Psychologist. Clinical services aligned with this taxonomy classification.
Does KATHLEEN MARIE LAURIN (PHD, LP) practice in Iowa?
You will see Des Moines, Iowa on file for KATHLEEN MARIE LAURIN (PHD, LP) alongside any extra practice locations.
Is KATHLEEN MARIE LAURIN (PHD, LP) a real provider?
This page reflects official NPPES data for NPI 1689650657. Always confirm identity and privileges with the practice and licensing boards.

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