Susan Ruth Hall, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3509 Issued in MN

Practice address

1707 Miller Trunk Hwy
Duluth, MN 55811-1880

Phone

(218) 729-6499

Fax

(218) 729-9238

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Susan Ruth Skurla Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Calibrate, LLC

  • Clinical Psychologist
  • Duluth, MN
  • NPI 1619143187
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1417009804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MILLER TRUNK HWY",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111880",
            "telephone_number": "218-729-6499",
            "fax_number": "218-729-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MILLER TRUNK HWY",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111880",
            "telephone_number": "218-729-6499",
            "fax_number": "218-729-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSAN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDLHSD UPIN",
            "identifier": "NPP000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729724600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SKURLA",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gene Hahn
• Kristen Hale
• Brianna Jennifer Hall-Nelson, PT, DPT
• Guy Andrew Hall, LADC
• Patrick Gregory Hall, M.D.
• Therese Jane Hallback
• Sigurd Haller, LICSW
• Tori Jo Hallgren, PA-C
• Roberta Ruth Hallquist, M.D.
• Nathan Halstead, DDS, MS

• All providers in Duluth, MN
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.