Active NPI
Suzanne Louis Aoun, M.D.
- Child & Adolescent Psychiatry Physician
- Minneapolis, MN
National Provider Identifier
1114019122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 41357
- Practice address
- 2430 Nicollet Ave
Minneapolis, MN 55404-3461 - Phone
- (612) 871-1454
- Fax
- (612) 871-1505
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 41357 | MN | Primary |
Addresses
Primary practice location
2430 Nicollet Ave
Minneapolis, MN 55404-3461
Mailing address
8359 Red Oak Dr
Mounds View, MN 55112-6146
Phone (612) 871-1454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040415000788 | MN | Practitioner - Psychiatry | 6800881350 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41357 | MN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunflower Therapy Services LLC | Current | Accepting new patients | |
| Vantage Mental Health | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Collaborative Psychiatric Services LLC | Child & Adolescent Psychiatry | Past | Accepting new patients |
| Relate Inc | Past | Accepting new patients | |
| Regents of the University of Minnesota | Past | Accepting new patients | |
| Nystrom & Associates, LTD | Past | Accepting new patients |
Locations
2855 Anthony Ln S
Ste 201
St Anthony, MN 55418
Phone (651) 217-1480
5995 Oren Ave N
Ste 203
Stillwater, MN 55082
Phone (651) 217-1480
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Park Heights, MN
- NPI 1538990288
Child & Adolescent Psychiatry, MN
-
- Adult Mental Health Clinic/Center
- St Anthony, MN
- NPI 1093502098
-
- Psychiatry Physician
- Oak Park Heights, MN
- NPI 1699525857
Child & Adolescent Psychiatry
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
- Community/Behavioral Health Agency
- Minnetonka, MN
- NPI 1053486902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114019122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8359 RED OAK DR",
"city": "MOUNDS VIEW",
"state": "MN",
"postal_code": "551126146",
"telephone_number": "612-871-1454",
"fax_number": "612-871-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043461",
"telephone_number": "612-871-1454",
"fax_number": "612-871-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AOUN",
"first_name": "SUZANNE",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "41357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.