DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) – Clinical Neuropsychologist, NPI 1710118054

DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) is a healthcare provider. based in Charlottesville, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D, LP. They hold a License No. LP6151 (MN). The NPI Number for DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) is 1710118054

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP)
NPI
1710118054
Phone
(434) 924-2718
Address
1215 Lee St Box 800203
Enumeration Date
4 August 2009
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529932400
Graduation Year
2015 (11 years ago)
PAC ID
6305110180
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20170918001052
Address ID
MN554373934BL5320XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:16State licenses:2Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in VA

Provider Addresses for DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP)

  • 1215 Lee St Box 800203

    Charlottesville, VA 229080816

    Phone: (434) 924-2718

    Fax: (434) 243-6546

    Type: Location

  • 6701 Country Club Dr

    Golden Valley, MN 554274602

    Phone: (952) 993-5495

    Type: Location

  • 295 PHALEN BLVD

    SAINT PAUL, MN 551302400

    Phone: (651) 495-6200

    Type: Location

  • Healthpartners, 8170, 33rd Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States

    MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone: (651) 254-7900

    Fax: (651) 254-7904

    Type: Mailing

  • Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States

    SAINT PAUL, MN 551012502

    Phone: (651) 254-7900

    Fax: (651) 254-7904

    Type: Location

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: 2017-09-18

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
I20170918001052IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes17435$0
96133Evaluation of neuropsychological test, each additional hour10035$0
96116Exam of neurobehavioral status, first hour3535$0
96132Evaluation of neuropsychological test, first hour3535$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 22908)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

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Frequently asked questions

Can I verify DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) with an NPI only?
You can start verification with NPI 1710118054 for DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP), then check state licensing separately.
Can I rely on DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) being an active provider?
As of the registry snapshot, DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) is marked active.
What is DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP)'s primary classification?
Clinical Neuropsychologist is the headline specialty for DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) here. Clinical services aligned with this taxonomy classification.
Where is DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) based?
DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) is tied to Charlottesville, Virginia in the data we show; additional addresses may exist on the full record.
Why does DR. KATHRYN ANNE WYMAN-CHICK (PSY.D, LP) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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