Christa Lee Suerken, PSY.D., L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4709 Issued in MN

Practice address

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

Phone

(763) 843-5548

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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 FL

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, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Premier Psychology, PLLCGroup PAC ID 1850614454, 6 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 and National Provider Directory roles.

• Premier Psychology, PLLC

  • Psychologist
  • Naples, FL
  • NPI 1023417433
  Medicare reassignment Care Compare group NPD
• Minnesota Psychological Resources

  • Clinical Social Worker
  • Plymouth, MN
  • NPI 1497820039
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1902975626",
    "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": {
        "last_name": "SUERKEN",
        "first_name": "CHRISTA",
        "middle_name": "LEE",
        "credential": "PSY.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan St. Amand, LMFT
• Lucy Whitney Standish, M.D.
• Thomas Patrick Stecker, D.C.
• Taylor Stephens, DDS
• Jennifer Louise Stowe
• Gwendolyn F Svenvold, PHARM D
• Abby Rose Swandal, LADC, LAMFT
• Marcia Mae Swanson, L.AC.
• Tamber Health of Minnesota, P.C.
• Taylor J. Stephens, D.D.S, P.a.

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

• 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.
• 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.