Individual provider Active NPI

Sarah Kupfer, LP

  • Clinical Psychologist
  • Eden Prairie, MN
National Provider Identifier
1346661048
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5707 Issued in MN
Practice address
6600 City West Pkwy Ste 207
Eden Prairie, MN 55344-7707
Phone
(612) 562-9007
Fax
(612) 677-3238
NPI assigned
Dec 23, 2013
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP5707 MN Primary
Clinical Psychologist 103TC0700X 5707 MN

Addresses

Primary practice location

6600 City West Pkwy Ste 207
Eden Prairie, MN 55344-7707

Mailing address

6600 City West Pkwy Ste 207
Eden Prairie, MN 55344-7707
Phone (612) 562-9007

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

LicenseStateTypeSpecialty
LP5707MNMDClinical Psychologist
5707MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Learning and Attention Center Clinical CurrentSince Jul 7, 2024 Accepting new patients
Family Support Services Inc. PastSince Mar 3, 2024 Accepting new patients

Locations

6600 City West Pkwy
Ste 207
Eden Prairie, MN 55344
Phone (612) 562-9007

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1346661048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CITY WEST PKWY STE 207",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447707",
            "telephone_number": "612-562-9007",
            "fax_number": "612-677-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 CITY WEST PKWY STE 207",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447707",
            "telephone_number": "612-562-9007",
            "fax_number": "612-677-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPFER",
        "first_name": "SARAH",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5707",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.