NPIMap

Organization Active NPI

Christa Suerken, Psy.D., PLC

  • Community/Behavioral Health Agency
  • Wayzata, MN
National Provider Identifier
1811328511
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP4709 Issued in MN
Legal business name
CHRISTA SUERKEN, PSY.D., PLC
Practice address
600 Twelve Oaks Center Dr
Suite 216
Wayzata, MN 55391-4501
Phone
(763) 843-5548
NPI assigned
Dec 5, 2013
Last updated
Dec 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Dr. Christa L Suerken, LPNPI 1902975626
Title
Owner
Phone
(763) 843-5548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LP4709 MN Primary

Addresses

Primary practice location

600 Twelve Oaks Center Dr
Suite 216
Wayzata, MN 55391-4501

Mailing address

600 Twelve Oaks Center Dr
Suite 216
Wayzata, MN 55391-4501
Phone (763) 843-5548

National Provider Directory

National Provider Directory

Locations

600 Twelve Oaks Center Dr
Ste 216
Wayzata, MN 55391
Phone (763) 843-5548

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1811328511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 216",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914501",
            "telephone_number": "763-843-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 216",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914501",
            "telephone_number": "763-843-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTA SUERKEN, PSY.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "SUERKEN",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-843-5548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.