Individual provider Active NPI

Sara J Prescher, PSYD LP

  • Psychologist
  • St Louis Park, MN
National Provider Identifier
1669608246
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5064 Issued in MN
Practice address
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone
(612) 223-8898
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP5064 MN Primary

Addresses

Primary practice location

7601 Wayzata Blvd
St Louis Park, MN 55426-1623

Mailing address

7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone (612) 223-8898

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150820012296 MN Practitioner - Clinical Psychologist 7214242189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7601 Wayzata Blvd
Saint Louis Park, MN 55426-1623
Phone (612) 223-8898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP5064MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Aug 17, 2015 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Park Nicollet Clinic CurrentSince Aug 17, 2015 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Sep 15, 2024 Accepting new patients
Care Clinics, LLC Psychologist CurrentSince Apr 10, 2023 Accepting new patients
Optum Behavioral Care of Colorado PC Psychologist CurrentSince Sep 15, 2024 Accepting new patients

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

8980 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 501-1467

501 N Riverfront Dr
Mankato, MN 56001
Phone (612) 223-8988

11671 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (763) 585-0600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

310 Clifton Ave
Minneapolis, MN 55403
Phone (612) 284-2870

3601 Minnesota Dr
Ste 575
Minneapolis, MN 55435
Phone (612) 799-8975

204 W Franklin Ave
Minneapolis, MN 55404
Phone (612) 223-8899

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

4100 Berkshire Ln N
Ste 250
Plymouth, MN 55446

1155 Northland Dr
Saint Paul, MN 55120
Phone (612) 223-8899

3800 Park Nicollet Blvd
St Louis Park, MN 55416
Phone (952) 993-1000

7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1669608246",
    "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": "612-223-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 WAYZATA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261623",
            "telephone_number": "612-223-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCHER",
        "first_name": "SARA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.