SUMUS HEALTH, LLC
NPI 1053991448
Psychologist - Clinical in Stacy, MN

Q: What is Sumus Health, LLC's NPI number?

The NPI number for Sumus Health, LLC is 1053991448. It was assigned to this organization in the NPPES registry on April 10, 2021.

Q: What is Sumus Health, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Sumus Health, LLC was last updated on April 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2021

6020 302ND ST, STACY, MN 55079(612) 418-9391 Get Directions Write a Review

NPPES record last updated: April 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sumus Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMUS HEALTH, LLC (NPI 1053991448) is a healthcare organization registered as a clinical in Stacy, Minnesota and active in the NPI registry since April 2021. The organization lists Richard Anthony Blackburn, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1053991448

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSUMUS HEALTH, LLC

Location Address6020 302ND STStacy, MN 55079-9649

Mailing Address6020 302nd StStacy, MN 55079-9649 · (612) 418-9391

Phone(612) 418-9391

Organization SubpartNo

Authorized OfficialRichard Anthony BlackburnCo-owner · (612) 418-9391

Enumeration DateApril 10, 2021

NPPES CertifiedApril 10, 2021

✔ NPI 1053991448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

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.

6020 302ND ST, Stacy, MN 55079

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Other Identifiers 1

Medicaid1134293400MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumus Health, LLC's NPI number?

The NPI number for Sumus Health, LLC is 1053991448. It was assigned to this organization in the NPPES registry on April 10, 2021.

Where is Sumus Health, LLC located?

Sumus Health, LLC is located at 6020 302nd St, Stacy, MN 55079. The listed phone number is (612) 418-9391.

What is Sumus Health, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Sumus Health, LLC was last updated on April 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.