Active NPI
Donald E Streufert, PHD
- Clinical Psychologist
- Duluth, MN
National Provider Identifier
1093881187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1131
- Practice address
- 205 West 2ND St
Suite 437 Duluth Psychological Clinic
Duluth, MN 55802 - Phone
- (218) 724-2005
- Fax
- (218) 727-3000
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP1131 | MN | Primary |
Addresses
Primary practice location
205 West 2ND St
Suite 437 Duluth Psychological Clinic
Duluth, MN 55802
Mailing address
205 West 2ND St
Suite 437 Duluth Psychological Clinic
Duluth, MN 55802
Phone (218) 724-2005
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1131 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duluth Psychological Clinic Inc | Clinical | Past | Accepting new patients |
| The Institute for Psychological & Sexual Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Duluth, MN
- NPI 1730243809
-
- Psychologist
- Duluth, MN
- NPI 1588794515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093881187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WEST 2ND ST",
"address_2": "SUITE 437 DULUTH PSYCHOLOGICAL CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "55802",
"telephone_number": "218-724-2005",
"fax_number": "218-727-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WEST 2ND ST",
"address_2": "SUITE 437 DULUTH PSYCHOLOGICAL CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "55802",
"telephone_number": "218-724-2005",
"fax_number": "218-727-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREUFERT",
"first_name": "DONALD",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP1131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.