Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073006524 Individual Practitioner Female Practitioner

Dr. Charryse Fouquette Luckey , PhD, BCBA-D

Psychologist - Clinical • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Charryse Luckey, PhD, BCBA-D is a registered healthcare professional specializing in Psychologist - Clinical in Saint Cloud, MN. Practice services are available at 1830 27TH ST SE UNIT E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1830 27th St Se Unit E

Saint Cloud, MN 563048601

Telephone 6515037696

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Saint Cloud, MN (1595 Statewide)

Telehealth Adoption Rate
5.9% 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

CMS Verified: 2022-10-26
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MN 6660

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License MN 1-05-2231

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 26, 2022

Registered at 1830 27TH ST SE UNIT E, SAINT CLOUD, MN 563048601 (Tel: 6515037696)

📍
Updated Business Mailing Address October 26, 2022

Registered at 1830 27TH ST SE UNIT E, SAINT CLOUD, MN 563048601

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2022

Behavior Analyst (License #1-05-2231 in MN)

📍
Updated Practice Location March 30, 2021

Registered at 408 GREAT OAK DR STE 408D, WAITE PARK, MN 563872504 (Tel: 2182874338)

📍
Updated Business Mailing Address March 30, 2021

Registered at 891 BELSLY BLVD, MOORHEAD, MN 565605055 (Tel: 2182874338)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Psychologist (License #6660 in MN)

NPI Profile Active June 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2018

Registered at 2925 DEAN PKWY STE 300, MINNEAPOLIS, MN 554167700 (Tel: 6128258365)

📍
Updated Business Mailing Address June 10, 2018

Registered at 2925 DEAN PKWY STE 300, MINNEAPOLIS, MN 554167700 (Tel: 6128258365)

👤
Provider Name / Credentials Updated June 10, 2018

Recorded as CHARRYSE LUCKEY, PH.D, BCBA-D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2018

Behavior Analyst (License #1-05-2231 in MN)

🟢
Initial NPI Registration & Enumeration June 10, 2018

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: 1073006524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2018
Last Update: October 26, 2022
Sole Proprietor: No

Mailing Address

1830 27th St Se Unit E

Saint Cloud, MN 563048601

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.