SGW Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SGW PSYCHOLOGICAL SERVICES LLC

Practice address

7300 147TH St W Ste 103
Apple Valley, MN 55124-7580

Phone

(651) 493-9412

Fax

(651) 365-1040

NPI assigned

Jun 9, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shannon Marie Goecke-Watson, PSYD, LPNPI 1205307659

Title

Psychologist

Phone

(651) 493-9412

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Marie Goecke-Watson, PSYD, LP

  • Counseling Psychologist
  • Apple Valley, MN
  • NPI 1205307659
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1043835671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 103",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247580",
            "telephone_number": "651-493-9412",
            "fax_number": "651-365-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 103",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247580",
            "telephone_number": "651-493-9412",
            "fax_number": "651-365-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGW PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "GOECKE-WATSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-493-9412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin W Seabolt
• Katherine Sebastian, PT
• Nermine Sedrak
• Abigail Semlak, DPT
• Jason Aza Senecal, D.C.
• Dekh A Sharif
• Muhanad Sharif
• Khadija Said Sheikh
• Omar A Sheikh
• Shraddha Sherchan

• Psychologist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.