Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952434029 Individual Practitioner Male Practitioner

Kenneth Bruce Sutherland , LP

Psychologist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Kenneth Sutherland, LP is a registered healthcare professional specializing in Psychologist in Bloomington, MN. Practice services are available at 7800 METRO PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7800 Metro Pkwy
Suite 300

Bloomington, MN 554251514

Telephone 9528546066
Fax 9528546766
Associated Practice Facility / Clinic

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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP1175

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

Commercial Insurance / Payer ID Value Options
553869 (MN)
Commercial Insurance / Payer ID Preferred One
990990306005 (MN)
Commercial Insurance / Payer ID Ucare
101776 (MN)
Commercial Insurance / Payer ID Medica
6237451 (MN)
Commercial Insurance / Payer ID Health Partners
3033056 (MN)
Commercial Insurance / Payer ID Blue Cross Blue Shield Mn
64G51SU (MN)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Carolynne Moffat , LMFT

Marriage & Family Therapist

NPI 1033344031

Licensed Marriage and Family Therapist

John Walters , LAC

Acupuncturist

NPI 1144480294

Licensed Acupuncturist

Linda Nielsen , LICSW

Social Worker - Clinical

NPI 1326137969

Licensed Independent Clinical Social Worker

Roberta Gunther , MA, CCC-SLP

Speech-Language Pathologist

NPI 1326246968

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Lisa Squire , PhD, LP

Psychologist - Clinical

NPI 1609872589

Doctor of Philosophy (Ph.D.), Licensed Psychologist

NPI 1619948080

PSYDLP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 554251514 (Tel: 9528546066)

📍
Updated Business Mailing Address July 09, 2007

Registered at 7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 554251514 (Tel: 9528546066)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KENNETH SUTHERLAND, L.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #LP1175 in MN)

🟢
Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952434029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

7800 Metro Pkwy, Suite 300

Bloomington, MN 554251514

Phone: 9528546066

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.