NPPES file of Aug 9, 2026

Mary Kelly Haack, PH.D.

Clinical Psychologist · Minneapolis, MN

Mary Kelly Haack, PH.D. is a clinical psychologist with a practice address in Minneapolis, Minnesota, and NPI 1336336254, issued on Sep 25, 2007. Check the license (Minnesota LP5023, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1336336254
Name
Mary Kelly Haack
Credential
PH.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
LP5023 MN
Self-reported in NPPES; status is on the state search
Practice location
3333 University Ave SE, Minneapolis, MN 55414
Phone
(612) 728-5399
Enumerated
Sep 25, 2007
Record last updated
Dec 31, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(612) 728-5301
Medicaid ID
10025287200 NE
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Mary Kelly Haack in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license LP5023    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

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Mary Kelly Haack among 1,538 clinical psychologist records in Minnesota

Mary Kelly Haack, PH.D. is one of 1,538 clinical psychologist records with a practice address in Minnesota. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 37% of them.

  • NPI issued2007 · 37% of these records are older, 49% newer
  • In a Medicare fileNo · 26% of these records are
  • In the CMS Doctors and Clinicians fileNo · 33% of these records are
  • Record last updated2013 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

341 clinical psychologist records list a practice address in Minneapolis

They are 341 of the 22,918 NPPES records with a practice address in Minneapolis, and 1,538 clinical psychologist records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 1,538 in Minnesota → Every provider in Minneapolis → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Sheila Becking, PSY. D.Minneapolis, MN 554141982763322
  2. Carole Coffey Hannah, LPMinneapolis, MN 554141659498012
  3. Miranda Dyrdahl, PSY.D., LMFT, LPMinneapolis, MN 554141114148798
  4. Ferde Fritsche, PH.D, L.P.Minneapolis, MN 554141083838213
  5. Dixie Grace, PH.D.Minneapolis, MN 554141932191889
  6. Susan Gustafson, LPMinneapolis, MN 554141073686655
  7. Karin Hampton, PHD LPMinneapolis, MN 554141952376246
  8. Nicole Heffron, NICOLE HEFFRONMinneapolis, MN 554141831102839

Common questions

What is Mary Kelly Haack, PH.D.'s NPI number?

Mary Kelly Haack, PH.D.'s National Provider Identifier (NPI) is 1336336254, issued on Sep 25, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Mary Kelly Haack, PH.D. located?

The NPPES record lists a practice address at 3333 University Ave SE, Minneapolis, MN, 55414. Phone: (612) 728-5399. Providers update this record themselves, so call before visiting.

How can I verify Mary Kelly Haack, PH.D.'s license?

NPPES lists Minnesota license number LP5023, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.