Active NPI
Sydney Erickson, PSY.D.
- Clinical Psychologist
- Saint Paul, MN
National Provider Identifier
1316495914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP6045
- Practice address
- 1449 Cleveland Ave N
Saint Paul, MN 55108-1413 - Phone
- (651) 645-5323
- NPI assigned
- Sep 13, 2016
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP6045 | MN | Primary |
Addresses
Primary practice location
1449 Cleveland Ave N
Saint Paul, MN 55108-1413
Mailing address
3037 Knox Ave S
Apt 202
Minneapolis, MN 55408-2543
Phone (715) 550-0298
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6045 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott M Yarosh, LLC | Current | Accepting new patients |
Locations
11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828
Organizations & group practices 1
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 Counselor
- Saint Paul, MN
- NPI 1144543265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1316495914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3037 KNOX AVE S",
"address_2": "APT 202",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082543",
"telephone_number": "715-550-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 CLEVELAND AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081413",
"telephone_number": "651-645-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "SYDNEY",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP6045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
- Olivia Erickson, CPM, LTM, CLC
- Patricia Ann Erickson, CPNP
- Sara E Erickson, MD
- Sara J Erickson, MA, LPCC, CCTP, CGP
- Shyann Erickson
- Michelle Rose Erickstad
- Christopher James Erikson, DO
- Erin Brandel Dykhuizen, Ma, MSW, Licsw LLC
- Erin Morgan LMFT, L.L.C. (Cascade Therapy Group, LLC)
- Erin's Helping Hands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.