Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801953443 Individual Practitioner Female Practitioner

Susan Marie Bourgerie , MA, LP

Psychologist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Susan Bourgerie, MA, LP is a registered healthcare professional specializing in Psychologist in Minneapolis, MN. Practice services are available at 1409 WILLOW ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1409 Willow St
Suite 200

Minneapolis, MN 554032269

Telephone 6128748608
Fax 6128748612
Associated Practice Facility / Clinic
🏢 William H Percy Llc Facility NPI 1194804518

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
352 Specialists

Practicing in Minneapolis, MN (1833 Statewide)

Telehealth Adoption Rate
12.8% 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 1735

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 Bcbs Provider Number
3K152BO (MN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Sandra Kacher , LICSW

Social Worker - Clinical

NPI 1609932540

Licensed Independent Clinical Social Worker

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 1409 WILLOW ST, SUITE 200, MINNEAPOLIS, MN 554032269 (Tel: 6128748608)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1409 WILLOW ST, SUITE 200, MINNEAPOLIS, MN 554032269 (Tel: 6128748608)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN BOURGERIE, M.A., L.P.

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

Psychologist (License #LP 1735 in MN)

🟢
Initial NPI Registration & Enumeration January 02, 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: 1801953443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1409 Willow St, Suite 200

Minneapolis, MN 554032269

Phone: 6128748608

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.