Sara Rebecca Dhuse, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5018 Issued in MN

Practice address

4815 Burning Tree Rd Ste 200
Duluth, MN 55811-3833

Phone

(218) 464-0908

Fax

(218) 722-4400

NPI assigned

Mar 6, 2007

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Iowa, RJ & L Carver College of Medicine, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

HP Psychological Associates PCGroup PAC ID 1951658152, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HP Psychological Associates, PC

  • Community/Behavioral Health Agency
  • Duluth, MN
  • NPI 1780132696
  Medicare reassignment Care Compare group
• Brightwater Health Dba Human Development Center

  • Community/Behavioral Health Agency
  • Cloquet, MN
  • NPI 1114048527
  NPD (past)
• Compassionate Quality Psychiatry PLLC

  • Community/Behavioral Health Agency
  • Cloquet, MN
  • NPI 1932852860
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1265562755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 BURNING TREE RD STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113833",
            "telephone_number": "218-464-0908",
            "fax_number": "218-722-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 BURNING TREE RD STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113833",
            "telephone_number": "218-464-0908",
            "fax_number": "218-722-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHUSE",
        "first_name": "SARA",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007217",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265562755",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sreedhar Devathi, M.D.
• Joey Lee Devlieger, PT
• Richard D Devorak, DDS
• Callie Sue Devriendt, LICSW
• Manita Dhungel, RN, CRNA
• Tabitha Elizabeth Diamond
• Jenna Marie Dian, APRN, CNP
• Daniel Bruno Diaz, DO
• Josefino Calibo Diaz
• Sarah Elizabeth Diaz, DO

• Clinical Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.