Suzanne Marie Keizer, PSY.D., MSCP
Individual provider Active NPI Clinical Psychologist · Sioux Falls, SD
NPI 1447585476 · NPPES record last updated Feb 4, 2020
Key facts
- NPI
- 1447585476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 001195 (IA)
- Practice address
- 1020 W 18TH St
Sioux Falls, SD 57104-4707 - Phone
- (605) 444-9700
- Fax
- (605) 444-9701
- NPI assigned
- Oct 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001195 | IA | MD | Clinical Psychologist |
| 000558 | IA | MD | Health Service Psychologist |
| 586 | SD | MD | Optometrist |
| 826 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Behavioral Healthcare | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Psychologist | 103T00000X | 826 | NE | |
| Health Service Psychologist | 103TH0100X | 000558 | IA | |
| Clinical Psychologist | 103TC0700X | 001195 | IA | Yes |
Addresses
Primary practice location
1020 W 18TH St
Sioux Falls, SD 57104-4707
Mailing address
5612 S Cain Ave
Sioux Falls, SD 57106-2647
Phone (712) 266-5504
Other practice location 1
4301 Sergeant Rd
Suite 210
Sioux City, IA 51106-4726
Phone (712) 266-5504
Other practice location 2
7414 E 45th St
Sioux Falls, SD 57110-6449
Phone (712) 266-5504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001195 | Other | IA | BOARD OF PSYCHOLOGY LICENSE |
| 000558 | Other | IA | IOWA HEALTH SERVICE PROVIDER |
Other names
- Suzanne Marie Cleveringa
Other providers in Sioux Falls, SD
- Amber Rae Keiser
- Kimberly J Keiser
- Courtney A. Keith
- Jeremy D Keith
- Meredith Michelle Keith
- Davette Keller
- Elly Claire Keller
- Lyndsay Marie Keller
- Amy B Kelley
- Jacqueline Kelley
All providers in Sioux Falls, SD · Clinical Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.