STONE ARCH PSYCHOLOGY AND HEALTH SERVICES
NPI 1124398607
Psychologist - Clinical in Minneapolis, MN

Active since December 30, 2011
219 MAIN ST SE STE 400, MINNEAPOLIS, MN 55414(612) 886-2524(612) 886-2538 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stone Arch Psychology And Health Services NPPES

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

STONE ARCH PSYCHOLOGY AND HEALTH SERVICES (NPI 1124398607) is a healthcare organization registered as a clinical in Minneapolis, Minnesota and active in the NPI registry since December 2011. The organization lists Susan Gustafson, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124398607
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSTONE ARCH PSYCHOLOGY AND HEALTH SERVICES
Location Address219 MAIN ST SE STE 400Minneapolis, MN 55414
Mailing Address219 Main St Se Ste 400Minneapolis, MN 55414-2151 · (612) 886-2524 · Fax (612) 886-2538
Fax(612) 886-2538
Organization SubpartNo
Authorized OfficialSusan GustafsonPsychologist · (612) 886-2524
Enumeration DateDecember 30, 2011
Last NPPES UpdateJune 11, 2018
✔ NPI 1124398607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP3594
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.
Also ListedPsychologistTaxonomy 103T00000X · License LP3594 (MN)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License LP3594 (MN)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License LP3594 (MN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LP3594 (MN)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License LP3594 (MN)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License LP3594 (MN)
219 MAIN ST SE STE 400, Minneapolis, MN 55414

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stone Arch Psychology And Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Stone Arch Psychology And Health Services, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker4
Mental Health Counselor4
Clinical Psychologist3
Marriage and Family Therapist1

Clinicians, nearest first (12)

Mental Health Counselor
NPI 1538901301
219 N MAIN ST SE
Mpls, MN 55414
(612) 886-2524
✔ PECOSSame address
Clinical Social Worker
NPI 1083420954
219 SE MAIN ST STE 400
Minneapolis, MN 55414
(612) 886-2524
✔ PECOSSame address
Mental Health Counselor
NPI 1174039887
219 SE MAIN ST STE 400
Minneapolis, MN 55414
(612) 886-2524
✔ PECOSSame address
Clinical Social Worker
NPI 1013434299
219 SE MAIN ST STE 400
Minneapolis, MN 55414
(612) 886-2524
✔ PECOSSame address
Clinical Social Worker
NPI 1639216583
219 SE MAIN ST STE 400
Minneapolis, MN 55414
(612) 886-2524
✔ PECOSSame address
Clinical Psychologist
NPI 1073686655
219 SE MAIN ST STE 400
Minneapolis, MN 55414
(612) 886-2524
✔ PECOSSame address
Clinical Psychologist
NPI 1598360885
615 1ST AVE NE STE 475
Minneapolis, MN 55413
(507) 288-8544
✔ PECOS0.5 mi
Clinical Social Worker
NPI 1033620935
1725 2ND AVE SO
Minneapolis, MN 55403
(612) 373-3366
✔ PECOS1.6 mi
Clinical Psychologist
NPI 1033581863
800 E 28TH ST
Minneapolis, MN 55407
(612) 863-8511
✔ PECOS2.2 mi
Mental Health Counselor
NPI 1225889710
3029 IDAHO AVE S
Minneapolis, MN 55426
(612) 618-1320
✔ PECOS6.0 mi
Marriage and Family Therapist
NPI 1205130697
5939 PORTLAND AVE
Minneapolis, MN 55417
(612) 866-6100
✔ PECOS6.2 mi
Mental Health Counselor
NPI 1033636519
13603 80TH CIR N
Maple Grove, MN 55369
(763) 274-3120
✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stone Arch Psychology And Health Services's NPI number?

The NPI number for Stone Arch Psychology And Health Services is 1124398607. It was assigned to this organization in the NPPES registry on December 30, 2011.

Where is Stone Arch Psychology And Health Services located?

Stone Arch Psychology And Health Services is located at 219 Main St SE Ste 400, Minneapolis, MN 55414. The listed phone number is (612) 886-2524.

What is Stone Arch Psychology And Health Services's specialty?

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

Is Stone Arch Psychology And Health Services enrolled in Medicare?

Yes. Stone Arch Psychology And Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stone Arch Psychology And Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Stone Arch Psychology And Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4), Mental Health Counselor (4) and Clinical Psychologist (3). Of these, 6 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stone Arch Psychology And Health Services accept?

Health plans from HealthPartners list Stone Arch Psychology And Health Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stone Arch Psychology And Health Services was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.