Active NPI
Leigh Sturn
- Psychologist
- Hugo, MN
National Provider Identifier
1083199376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6221
- Practice address
- 14145 Forest Blvd N
Hugo, MN 55038-8434 - Phone
- (612) 900-8825
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6221 | MN | Primary |
Addresses
Primary practice location
14145 Forest Blvd N
Hugo, MN 55038-8434
Mailing address
3630 Oak Ter
White Bear Lake, MN 55110-4850
Phone (612) 900-8825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6221 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1083199376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 OAK TER",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104850",
"telephone_number": "612-900-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14145 FOREST BLVD N",
"city": "HUGO",
"state": "MN",
"postal_code": "550388434",
"telephone_number": "612-900-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURN",
"first_name": "LEIGH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "6221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hugo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.