Active NPI
Sarah Kupfer, LP
- Clinical Psychologist
- Eden Prairie, MN
National Provider Identifier
1346661048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP5707
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LP5707 | MN | MD | Clinical Psychologist |
| 5707 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Learning and Attention Center | Clinical | Current | Accepting new patients |
| Family Support Services Inc. | Past | 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.
-
- Clinical Psychologist
- Eden Prairie, MN
- NPI 1356187124
-
dba Sagent Behavioral Health
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
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.