Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073820379 Individual Practitioner Male Practitioner

Dr. Roy John Sutherland , PhD, ABPP, LADC, MHA

Psychologist • New Brighton, MN

Professional Overview & Biography Verified Profile Summary

Dr. Roy Sutherland, PhD, ABPP, LADC, MHA is a registered healthcare professional specializing in Psychologist in New Brighton, MN. Practice services are available at 1900 SILVER LAKE RD NW under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

1900 Silver Lake Rd Nw

New Brighton, MN 551121786

Telephone 6516289566
Associated Practice Facility / Clinic
🏢 Nystrom & Associates, Ltd Facility NPI 1396750188

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in New Brighton, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
16 Specialists

Practicing in New Brighton, MN (1833 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.9% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90853 Group psychotherapy
64 14 $81.00 $24.41

Medical Specialties & State Licenses

CMS Verified: 2022-05-06
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP5295

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.

Psychologist - Counseling

NUCC Taxonomy Code: 103TC1900X

State License MN LP5295

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1073820379 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bethany Gavic , MSW, LICSW

Social Worker - Clinical

NPI 1003153792

Master of Social Work, Licensed Independent Clinical Social Worker

Sarah Hoover

Marriage & Family Therapist

NPI 1003190463
Jennifer Perri

Marriage & Family Therapist

NPI 1013275650
Deborah Malchow , MSW, LICSW

Social Worker - Clinical

NPI 1013674167

Master of Social Work, Licensed Independent Clinical Social Worker

Jack Hinrichs , MA, LMFT

Marriage & Family Therapist

NPI 1023035599

Master of Arts, Licensed Marriage and Family Therapist

David Hawkinson

Counselor - Mental Health

NPI 1023566619

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 06, 2022

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

📍
Updated Business Mailing Address May 06, 2022

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

📍
Updated Practice Location March 12, 2018

Registered at 550 OSBORNE RD NE # MR 52790, FRIDLEY, MN 554322718 (Tel: 7632364375)

📍
Updated Business Mailing Address March 12, 2018

Registered at 550 OSBORNE RD NE # MR 52790, FRIDLEY, MN 554322718 (Tel: 7632364375)

👤
Provider Name / Credentials Updated March 12, 2018

Recorded as ROY SUTHERLAND, PHD, ABPP,LADC,MHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2018

Psychologist (License #LP5295 in MN)

NPI Profile Active January 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2013

Registered at 45 10TH ST W # G700, SAINT PAUL, MN 551021062 (Tel: 6512323640)

📍
Updated Business Mailing Address January 15, 2013

Registered at 45 10TH ST W # G700, SAINT PAUL, MN 551021062 (Tel: 6512323640)

👤
Provider Name / Credentials Updated January 15, 2013

Recorded as ROY SUTHERLAND, PHD, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2013

Psychologist (License #LP5295 in MN)

🟢
Initial NPI Registration & Enumeration September 08, 2010

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: 1073820379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2010
Last Update: May 06, 2022
Sole Proprietor: Yes

Mailing Address

1900 Silver Lake Rd Nw

New Brighton, MN 551121786

Phone: 6516289566

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.