Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912932468 Individual Practitioner Male Practitioner

Dr. Richard Sullivan , PhD

Psychologist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Richard Sullivan, PhD is a registered healthcare professional specializing in Psychologist in Bloomington, MN. Practice services are available at 7920 OLD CEDAR AVE S under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7920 Old Cedar Ave S

Bloomington, MN 554251207

Telephone 9528511000
Fax 9528511092
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1013213891

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Bloomington, MN (1833 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
119 15 $261.41 $102.44

Medical Specialties & State Licenses

CMS Verified: 2021-03-11
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP4326

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
459093700 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Constance Crane , MD

Internal Medicine

NPI 1023033529

Doctor of Medicine (M.D.)

NPI 1053341057

Doctor of Medicine (M.D.)

Dr. Randy Kimpell , MD

Internal Medicine

NPI 1093738973

Doctor of Medicine (M.D.)

NPI 1427228741
Dr. Constance Cullen , MD

Internal Medicine

NPI 1477599355

Doctor of Medicine (M.D.)

Dr. Sharon Kshettry , MD

Obstetrics & Gynecology

NPI 1508892209

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7920 OLD CEDAR AVE S, BLOOMINGTON, MN 554251207 (Tel: 9528511000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 551085113 (Tel: 6516422700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD SULLIVAN, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP4326 in MN)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912932468
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: March 11, 2021
Sole Proprietor: No

Mailing Address

1021 Bandana Blvd E, Suite 200

Saint Paul, MN 551085113

Phone: 6516422700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.