KAREN MAE GOLOMBECKI (PSYD, LP) – Clinical Psychologist, NPI 1265775704

KAREN MAE GOLOMBECKI (PSYD, LP) is a healthcare provider. based in St cloud, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD, LP. They hold a License No. LP5771 (MN). The NPI Number for KAREN MAE GOLOMBECKI (PSYD, LP) is 1265775704

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KAREN MAE GOLOMBECKI (PSYD, LP)
NPI
1265775704
Phone
(320) 251-2700
Address
1406 6TH AVE N
Enumeration Date
3 April 2013
Last Update Date
11 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186814747
Graduation Year
2010 (16 years ago)
PAC ID
8820218209
Group Practice PAC ID
8022206663
Professional Enrollment ID
I20141007001193
Address ID
MN567014331TH1720XSXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for KAREN MAE GOLOMBECKI (PSYD, LP)

  • 1406 6TH AVE N

    ST CLOUD, MN 563031901

    Phone: (320) 251-2700

    Fax: (320) 656-7115

    Type: Mailing

  • CUYUNA REGIONAL MEDICAL CENTER

    320 EAST MAIN ST

    CROSBY, MN 56441

    Phone: (218) 546-7000

    Fax: (218) 546-4400

    Type: Location

  • 320 EAST MAIN ST

    CROSBY, MN 56441

    Phone: (218) 546-7000

    Fax: (218) 546-4400

    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: 2014-10-07

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
I20141007001193IClinical PsychologistMNTBD

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 56303)

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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: 8022206663View full group profile
NameSpecialtyState
-MN
-MN
Clinical Social WorkerSD
Interventional Pain Management, Pain Management, Anesthesiology, Critical Care (Intensivists), Internal MedicineND
Nurse PractitionerMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Nurse PractitionerMN
Family PracticeND
Family PracticeSD
Internal MedicineMN

Reviews

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Frequently asked questions

What is the standard ID for KAREN MAE GOLOMBECKI (PSYD, LP) in the U.S.?
In the U.S., KAREN MAE GOLOMBECKI (PSYD, LP) is identified by NPI 1265775704.
Is KAREN MAE GOLOMBECKI (PSYD, LP) currently accepting referrals based on NPI status?
Registry metadata lists KAREN MAE GOLOMBECKI (PSYD, LP) as active.
What type of care does KAREN MAE GOLOMBECKI (PSYD, LP) provide?
KAREN MAE GOLOMBECKI (PSYD, LP)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to KAREN MAE GOLOMBECKI (PSYD, LP)?
The directory associates KAREN MAE GOLOMBECKI (PSYD, LP) with St Cloud, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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