Sean Joseph Fields, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6301 Issued in MN

Practice address

401 E Dual Blvd Ste 120
Isanti, MN 55040-7164

Phone

(763) 248-9324

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity Circle Counseling LLCGroup PAC ID 9638552813, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Circle Counseling, LLC

  dba Serenity Circle Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Isanti, MN
  • NPI 1366766206

  Clinical

  Medicare reassignment Care Compare group NPD
• Hamm Memorial Psychiatric Clinic

  dba Hamm Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1609876051
  Medicare reassignment NPD

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1730652173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E DUAL BLVD STE 120",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407164",
            "telephone_number": "763-248-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E DUAL BLVD STE 120",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407164",
            "telephone_number": "763-248-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "SEAN",
        "middle_name": "JOSEPH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Eastlund, LGSW
• Janica Sue Edwards, L.P.
• Grace Eicher, SLP
• Elizabeth Dee Eklund, M.S. CCC-SLP
• Equilibrium Therapy Services P.L.L.C.
• Amanda Nicole Flanscha-Jacobson, MS, LAT, ATC
• Marie Forrest
• Gordon U Fredeen, D.D.S.,P.A.
• Lowell B Hansen
• Hearswell, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.