DR. SUSAN M HENDRICKSON (NPI# 1063591147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063591147 |
| Entity Type | Individual |
| Full Name | DR. SUSAN M HENDRICKSON |
| Credential | PHD, LP |
| Practice Address |
8085 Wayzata Blvd Ste 216 Golden Valley MN 55426-1459 |
| Practice Telephone | 6128458768 |
| Mailing Telephone | 6128458768 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP4455 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN HEALTH CARE PROGRAMS | 937451500 | 01 |
| MN | BLUE CROSS BLUE SHIELD MN | 404K4HE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902901366 | Susan Colleen Hendrickson | Pediatrics | 1000 Washington Ave, Bay City, MI 48707-9801 | 2006-09-13 |
| 1780644146 | Susan Ann Hendrickson | Nurse Practitioner | 787 37th St Ste 140, Vero Beach, FL 32960-7305 | 2006-03-28 |
| 1154506236 | Susan D Hendrickson | Marriage & Family Therapist | 4824 S Lemay Ave, Fort Collins, CO 80525-9402 | 2008-01-08 |
| Street Address |
8085 WAYZATA BLVD STE 216 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55426-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790081214 | Hendrickson Counseling & Consulting, Inc | Psychologist | 8085 Wayzata Blvd Ste 216, Golden Valley, MN 55426-1459 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1295950368 | Christine A Gibbon | Psychologist | 5101 Olson Memorial Hwy Ste 4002, Golden Valley, MN 55422-5164 | 2007-04-16 |
| 1518084326 | Jennifer L. Holt, Ph.d., LLC | Psychologist | 2350 Kewanee Way, Golden Valley, MN 55422-3822 | 2007-03-25 |
| 1639223431 | David Henry Hoy | Psychologist | 8401 Wayzata Blvd, Suite 370, Golden Valley, MN 55426-1343 | 2007-01-22 |
| 1548321680 | Elaine R. Wynne | Psychologist | 315 Georgia Ave N, Golden Valley, MN 55427-4978 | 2006-12-13 |
| 1114087236 | Dennis Lee Flom | Psychologist | 1520 Xenia Ave N, Golden Valley, MN 55422-4433 | 2006-12-11 |
| 1700954005 | Robert K Vucinovich | Psychologist | 80 Hampshire Ave N, Golden Valley, MN 55427-4923 | 2006-12-04 |
| 1770593493 | Marilyn Henken | Psychologist | 5520 Loring Ln, Golden Valley, MN 55422-5004 | 2006-08-08 |
| 1487681474 | Michelle A Schmid-egleston | Psychologist | 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426-1379 | 2006-06-27 |
| 1922046481 | Diann M Ackard | Psychologist | 5101 Olson Memorial Hwy, #4001, Golden Valley, MN 55422-5149 | 2006-06-04 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.