ROBERT HERBERT SUTTON (NPI# 1720552557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720552557 |
| Entity Type | Individual |
| Full Name | ROBERT HERBERT SUTTON |
| Practice Address |
6200 Excelsior Blvd Ste 203 St Louis Park MN 55416-2734 |
| Mailing Address |
6200 Excelsior Blvd Ste 204 Minneapolis MN 55416-2734 |
| Practice Telephone | 9525489340 |
| Practice Fax Number | 9525489350 |
| Mailing Telephone | 9525489340 |
| Mailing Fax Number | 9525489350 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
301693 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LADC | LADC | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 Babcock Blvd E, Delano, MN 553288603 | 9727652763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366680134 | Robert Charles Sutton | Orthotist | 113 Ne 1st St, Chiefland, FL 32626-0920 | 2009-02-01 |
| 1457504540 | Robert E Sutton | Family Medicine | 1561 Langham Ter, Lake Mary, FL 32746-1970 | 2008-11-03 |
| 1295859957 | Robert Sutton | Dentist | 4912 Southfork Dr, Lakeland, FL 33813-2042 | 2007-03-19 |
| 1205840824 | Robert L Sutton IIi | Dentist | 15503 Oak Ln Ste 300b, Gulfport, MS 39503-2697 | 2006-07-28 |
| 1770062309 | Robert Dale Sutton | Social Worker | 6605 W Central Ave, Toledo, OH 43617-1000 | 2018-08-14 |
| 1003300823 | Robert Regis Sutton | Pharmacist | 4100 Allequippa St, Pittsburgh, PA 15213 | 2018-06-15 |
| 1104019330 | Robert M Sutton | Pediatrics | 34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 | 2007-08-21 |
| 1073532917 | Robert G Sutton | Psychologist | 55 Nye Rd, Glastonbury, CT 06033-1281 | 2006-07-19 |
| Street Address |
6200 EXCELSIOR BLVD STE 203 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407210784 | Daniela Alejandra Bonilla Bermudez | Counselor | 6200 Excelsior Blvd Ste 203, St Louis Park, MN 55416-2734 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407210784 | Daniela Alejandra Bonilla Bermudez | Counselor | 6200 Excelsior Blvd Ste 203, St Louis Park, MN 55416-2734 | 2016-04-12 |
| 1275723777 | Parkdale Therapy Group, LLC | Counselor | 1000 Shelard Pkwy Ste 520, St Louis Park, MN 55426-1053 | 2007-07-31 |
| 1700958295 | Katherine Jane Flynn | Counselor | 5009 Excelsior Blvd Ste 134, St Louis Park, MN 55416-3049 | 2006-11-14 |
| 1215938410 | John Lamont Jankord | Counselor | 5354 Parkdale Dr Ste 375, St Louis Park, MN 55416-1612 | 2005-08-10 |
| 1477102770 | Kyja Foster | Counselor | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-09-09 |
| 1023667326 | Carrie Salsness | Counselor | 3705 Park Center Blvd, St Louis Park, MN 55416-2504 | 2019-09-09 |
| 1689232035 | Katelyn Marie Christensen | Counselor | 4029 Utica Ave S, St Louis Park, MN 55416-2904 | 2019-05-31 |
| 1124539853 | Kelly Stith | Counselor | 3705 Park Center Blvd, St Louis Park, MN 55416-2504 | 2017-10-20 |
| 1306357553 | Joan Frances Bullemer | Counselor | 5009 Excelsior Blvd Ste 134, St Louis Park, MN 55416-3049 | 2017-10-16 |
| 1962850065 | Michelle E Jones | Counselor | 4027 County Road 25, St Louis Park, MN 55416 | 2016-05-31 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on ROBERT HERBERT SUTTON.
| 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.