Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639232804 Individual Practitioner Female Practitioner

Nancy Marie Cusack , MA

Psychologist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Nancy Cusack, MA is a registered healthcare professional specializing in Psychologist in Coon Rapids, MN. Practice services are available at 425 COON RAPIDS BLVD NW STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 Coon Rapids Blvd Nw Ste 200
Suite 100

Coon Rapids, MN 554332753

Telephone 7637843008
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
26 Specialists

Practicing in Coon Rapids, MN (1833 Statewide)

Telehealth Adoption Rate
19.2% 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 LP 3907

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
201945100 (MN)
Commercial Insurance / Payer ID Health Partners
HP 37869 (MN)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1518033109

MALP

NPI 1710053301

MALP

Teresa Morris , LMFT

Marriage & Family Therapist

NPI 1861861312

Licensed Marriage and Family Therapist

Geneva Adams , LP

Psychologist

NPI 1891895660

Licensed Psychologist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2011

Registered at 425 COON RAPIDS BLVD NW STE 200, SUITE 100, COON RAPIDS, MN 554332753 (Tel: 7637843008)

📍
Updated Business Mailing Address December 05, 2011

Registered at 4023 24TH AVE S, MINNEAPOLIS, MN 554063023 (Tel: 6128236578)

👤
Provider Name / Credentials Updated December 05, 2011

Recorded as NANCY CUSACK, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2011

Psychologist (License #LP 3907 in MN)

🟢
Initial NPI Registration & Enumeration December 19, 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: 1639232804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: December 05, 2011
Sole Proprietor: No

Mailing Address

4023 24th Ave S

Minneapolis, MN 554063023

Phone: 6128236578

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.