Cheryl Kay Sybesma Van Noord, PH.D., LP

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

5285 Issued in MN

Practice address

8009 34TH Ave S
Riverview Office Tower, Suite 1490
Bloomington, MN 55425-1608

Phone

(612) 408-5857

NPI assigned

Nov 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Cheryl Sybesma Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1427350362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 34TH AVE S",
            "address_2": "RIVERVIEW OFFICE TOWER, SUITE 1490",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251608",
            "telephone_number": "612-408-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 34TH AVE S",
            "address_2": "RIVERVIEW OFFICE TOWER, SUITE 1490",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251608",
            "telephone_number": "612-408-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYBESMA VAN NOORD",
        "first_name": "CHERYL",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "5285",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "SYBESMA",
            "prefix": "DR.",
            "credential": "PH.D., LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristin Swenson, PTA
• Samantha Karen Swenson, MOT, OTR/L
• Stacy O Swenson, LICSW
• Stacey Swier, PHARM D
• Marc Francis Swiontkowski, MD
• Haseen Syed, DDS
• Tyler Szorcsik
• Elizabeth Kathleen Christine Tacheny
• Ikra Abdi Talaso
• Talk Alerts Consulting LLC

• Clinical Child & Adolescent Psychologist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinical Child & Adolescent Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.