Organization Active NPI

Suzanne Swanson Inc.

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1760544290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP2039 Issued in MN
Legal business name
SUZANNE SWANSON INC.
Doing business as
Mothers Matter
Practice address
1108 Grand Ave
#2
Saint Paul, MN 55105-2618
Phone
(651) 221-9709
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Suzanne M Swanson, PH.D.
Title
Licensed Psychologist
Phone
(651) 221-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X LP2039 MN Primary

Addresses

Primary practice location

1108 Grand Ave
#2
Saint Paul, MN 55105-2618

Mailing address

1108 Grand Ave
#2
Saint Paul, MN 55105-2618
Phone (651) 221-9709

Other identifiers 2

IdentifierTypeStateIssuer
4533470MedicaidMN
83A00SWOtherMNBLUE CROSS BLUE SHIELD MN

Other names 1

  • Mothers Matter Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760544290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 GRAND AVE",
            "address_2": "#2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052618",
            "telephone_number": "651-221-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 GRAND AVE",
            "address_2": "#2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052618",
            "telephone_number": "651-221-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE SWANSON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-221-9709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4533470",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "83A00SW",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mothers Matter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.