NPIMap

Individual provider Active NPI

Steven John Sutherland, MD

  • Psychiatry Physician
  • Duluth, MN
National Provider Identifier
1508981333
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39439 Issued in MN
Practice address
400 East 3Rd Street
Esesntia Health-Duluth Clinic
Duluth, MN 55805
Phone
(218) 786-1186
Fax
(218) 728-4404
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 33578 WI
Psychiatry Physician 2084P0800X 39439 MN Primary

Addresses

Primary practice location

400 East 3Rd Street
Esesntia Health-Duluth Clinic
Duluth, MN 55805

Mailing address

400 East 3Rd Street
Essentia Health-Duluth Clinic
Duluth, MN 55805
Phone (218) 786-8364

Other identifiers 1

IdentifierTypeStateIssuer
447518600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091007000789 MN Practitioner - Psychiatry 9638215494 Reassigns benefits to 3 organizations
I20200204002549 WI Practitioner - Psychiatry 9638215494 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33578WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD. CurrentSince Feb 14, 2011 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St Joseph's Medical Center CurrentSince Jan 7, 2021 Accepting new patients
St Joseph's Medical Center CurrentSince Jan 7, 2021 Accepting new patients
The Duluth Clinic, LTD CurrentSince Feb 14, 2011 Accepting new patients
St. Mary's Hospital of Superior CurrentSince Dec 28, 2019 Accepting new patients
SMDC Medical Center CurrentSince Jun 18, 2018 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
St. Mary's Hospital of Superior CurrentSince Jan 1, 2026 Accepting new patients
Brightwater Health Dba Human Development Center Past Accepting new patients
Brightwater Health Dba Human Development Center Past Accepting new patients
SMDC Medical Center Past Accepting new patients
Brightwater Health Dba Human Development Center PastSince Sep 28, 2010 Accepting new patients

Locations

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

615 Pecan Ave
Duluth, MN 55811
Phone (218) 355-2100

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/
  • Direct secure messaging: steven.sutherland.sutst@slk.direct.slhduluth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1508981333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST 3RD STREET",
            "address_2": "ESSENTIA HEALTH-DULUTH CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-786-8364",
            "fax_number": "218-728-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST 3RD STREET",
            "address_2": "ESESNTIA HEALTH-DULUTH CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-786-1186",
            "fax_number": "218-728-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "33578",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "39439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447518600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.