Heather Lynn Svoboda, MA LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP5110 Issued in MN

Practice address

310 Clifton Ave
Minneapolis, MN 55403-3218

Phone

(612) 223-8898

Fax

(612) 338-8899

NPI assigned

Dec 18, 2008

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 names 1

• Heather Svoboda Professional name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Heather Svoboda Ma LP

  • Counseling Psychologist
  • Minneapolis, MN
  • NPI 1760371611
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1629214747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 WAYZATA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261623",
            "telephone_number": "763-521-3477",
            "fax_number": "763-521-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CLIFTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033218",
            "telephone_number": "612-223-8898",
            "fax_number": "612-338-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "MA LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SVOBODA",
            "credential": "MA LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark Svet
• Maria V Svetaz, MD
• Svetlana Simovic, M.D.
• Richard Sveum
• Cameron J Svihla, PA-C
• Lance Svoboda, DDS, MS
• Laura Anne Svoboda, OTR/L
• Maeve Rose Swackhamer, PA-C
• Amber Swader, CPE
• Justin Lee Swaggert, ATC

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.