Suzanne L. Krueger & Associates PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 3833 Issued in MN

Legal business name

SUZANNE L. KRUEGER & ASSOCIATES PC

Practice address

1500 McAndrews Rd W Ste 223
Burnsville, MN 55337-4445

Phone

(952) 854-7711

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Suzanne L Kish, PSYD, LPNPI 1528040342

Title

Licensed Psychologist

Phone

(952) 854-7771

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne L Kish, PSYD, LP

  • Clinical Psychologist
  • Burnsville, MN
  • NPI 1528040342
  Medicare reassignment NPD Authorized official
• Shelley Sears Berven, MSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1265539308
  NPD (past)
• Alma Catherine Phibbs, LICSW

  • Clinical Social Worker
  • Bloomington, MN
  • NPI 1841413697
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1467519686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 223",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374445",
            "telephone_number": "952-854-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 223",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374445",
            "telephone_number": "952-854-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE L. KRUEGER & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "952-854-7771",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 3833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670522700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supervalu Pharmacies Inc
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• Sara Supplee, RDN LD
• Supported Living Solutions, LLC
• Robin Sutton
• Jocelyn Swanson, LMT
• Brian Scott Sweeney, DDS
• Maya A Sweeney
• Swenson Psychological Services, LLC
• Kelly Teresa Swenson, PT, DPT

• Clinical Psychologist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.