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DR. THEODORE SURDY PHD LP
NPI 1063463347
Psychologist - Clinical in Mankato, MN

Active since May 12, 2006
1227 CALEDONIA ST, MANKATO, MN 56001(507) 388-8874(507) 685-4807 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2023, May 8, 2018 (2 updates tracked since 2018).

About Dr. Theodore Surdy Phd Lp NPPES

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

DR. THEODORE SURDY PHD LP (NPI 1063463347) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (LP3385) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1063463347
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THEODORE SURDYCredential: PHD LP
Location Address1227 CALEDONIA STMankato, MN 56001-4329
Mailing Address1227 Caledonia StMankato, MN 56001-4329 · (507) 388-8874 · Fax (507) 685-4807
Phone(507) 388-8874
Fax(507) 685-4807
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1063463347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP3385
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.

1227 CALEDONIA ST, Mankato, MN 56001
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Other Identifiers 5

Other06T04SUMN · Bxbs
Other114945MN · Ucare Minnesota
Other114945FM · United
Medicaid497823400MN
OtherHP28628MN · Health Partners

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
349 services15 patients
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
171 services17 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
81 services17 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
43 services17 patients
Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
29 services16 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
27 services26 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SURDY PSYCHOLOGICAL SERVICES LLC
Psychologist (Clinical)
1227 CALEDONIA ST
MANKATO, MN 56001
Blue Earth County (507) 388-8874
BAILY KAAS LADC
Counselor (Addiction (Substance Use Disorder))
1227 CALEDONIA ST
MANKATO, MN 56001
Blue Earth County (507) 388-8874

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 Theodore Surdy's NPI number?

The NPI number for Theodore Surdy is 1063463347. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Theodore Surdy located?

Theodore Surdy practices at 1227 Caledonia St, Mankato, MN 56001. The listed phone number is (507) 388-8874.

What is Theodore Surdy'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 Theodore Surdy was last updated on March 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.