Susan Eckfeldt

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3045 Issued in MN

Legal business name

SUSAN ECKFELDT

Practice address

1360 Energy Park Dr
Suite 330
Saint Paul, MN 55108-5276

Phone

(651) 644-2267

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Medlicott Eckfeldt, PH.D, LPNPI 1154472561

Title

Psychologist

Phone

(651) 644-2267

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Medlicott Eckfeldt, PH.D.

  • Psychologist
  • Saint Paul, MN
  • NPI 1154472561
  NPD (past) Authorized official
• Bruce G McBeath, PH.D.

  • Adult Development & Aging Psychologist
  • Saint Paul, MN
  • NPI 1639256043
  NPD (past)
• Theresa Marie Voss, M.A., L.P.

  • Counseling Psychologist
  • Saint Paul, MN
  • NPI 1093936379
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942331889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR",
            "address_2": "SUITE 330",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085276",
            "telephone_number": "651-644-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR",
            "address_2": "SUITE 330",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085276",
            "telephone_number": "651-644-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ECKFELDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKFELDT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MEDLICOTT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-644-2267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supportive Journeys Psychotherapy, LLC
• Supportive Living Soultions,LLC
• Beth Anne Susag, MA, MT-BC, NMT
• Christopher Michael Susag, PH.D., L.P.C.C.
• Susan Borden Psych
• Erica Suski, RPA, RT(R)
• Eve Marie Faris Sussman, LP
• Jocelyn Sutehall, MA, LMFT
• Megan Sutter, MSW, LICSW
• Erin Marie Sutton, CD(DONA), LCCE, CLC

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• 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.