Matthew Kingsbury, PSYD, LP
NPI 1104224120 · Psychologist · Maple Grove, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Kingsbury, PSYD, LP is a Psychologist provider in Maple Grove, MN (NPI 1104224120).
Provider details
- NPI number
- 1104224120
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, LP
- Sex
- Male
- Sole proprietor
- No
- License
- LP6684 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-08
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Frequently asked questions
- What is Matthew Kingsbury's NPI number?
- Matthew Kingsbury's National Provider Identifier (NPI) is 1104224120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Kingsbury's specialty?
- Matthew Kingsbury is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Matthew Kingsbury located?
- Matthew Kingsbury's practice location on file with NPPES is 11316 86th Ave N, Maple Grove, MN 55369-4528.
- What is Matthew Kingsbury's phone number?
- The practice phone number listed in the NPPES registry for Matthew Kingsbury is (763) 400-8000.
- Does Matthew Kingsbury accept Medicare?
- Matthew Kingsbury is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Kingsbury's NPI active?
- Yes — Matthew Kingsbury's NPI (1104224120) is active in the NPPES registry as of the last update on 2022-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.