Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417009804 Individual Practitioner Female Practitioner

Susan Ruth Hall , PSYCHOLOGIST

Psychologist • Duluth, MN

Professional Overview & Biography Verified Profile Summary

Susan Hall, PSYCHOLOGIST is a registered healthcare professional specializing in Psychologist in Duluth, MN. Practice services are available at 1707 MILLER TRUNK HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1707 Miller Trunk Hwy

Duluth, MN 558111880

Telephone 2187296499
Fax 2187299238
Associated Practice Facility / Clinic
🏢 Calibrate, Llc Facility NPI 1619143187

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Duluth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.2 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
70 Specialists

Practicing in Duluth, MN (1833 Statewide)

Telehealth Adoption Rate
5.7% 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 LP3509

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
729724600 (MN)
Commercial Insurance / Payer ID Fdlhsd Upin
NPP000 (MN)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Alex Ross Larrivy , MS, LPCC

Counselor - Professional

NPI 1114323177

Master of Science, Licensed Professional Clinical Counselor

NPI 1295903482

Doctor of Psychology (Psy.D.), Licensed Psychologist

Dr. Christine Bowerman , PhD, LP

Psychologist - Forensic

NPI 1619412285

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

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2013

Registered at 1707 MILLER TRUNK HWY, DULUTH, MN 558111880 (Tel: 2187296499)

📍
Updated Business Mailing Address July 12, 2013

Registered at 1707 MILLER TRUNK HWY, DULUTH, MN 558111880 (Tel: 2187296499)

👤
Provider Name / Credentials Updated July 12, 2013

Recorded as SUSAN HALL, PSYCHOLOGIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2013

Psychologist (License #LP3509 in MN)

🟢
Initial NPI Registration & Enumeration January 17, 2007

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: 1417009804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2007
Last Update: July 12, 2013
Sole Proprietor: No

Mailing Address

1707 Miller Trunk Hwy

Duluth, MN 558111880

Phone: 2187296499

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.