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SURDY PSYCHOLOGICAL SERVICES LLC
NPI 1225576127
Psychologist - Clinical in Mankato, MN

Active since February 10, 2017
1227 CALEDONIA ST, MANKATO, MN 56001(507) 388-8874(507) 625-4807 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2023, Jan 17, 2023, Mar 27, 2017 and 2 more (5 updates tracked since 2017).

About Surdy Psychological Services Llc NPPES

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

SURDY PSYCHOLOGICAL SERVICES LLC (NPI 1225576127), doing business as Mending Roots, is a healthcare organization registered as a clinical in Mankato, Minnesota and active in the NPI registry since February 2017. The organization lists Theodore Surdy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225576127
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSURDY PSYCHOLOGICAL SERVICES LLC
Location Address1227 CALEDONIA STMankato, MN 56001-4329
Mailing Address1227 Caledonia StMankato, MN 56001-4329 · (507) 388-8874 · Fax (507) 625-4807
Phone(507) 388-8874
Fax(507) 625-4807
Organization SubpartNo
Authorized OfficialTheodore SurdyCeo · (507) 388-8874
Enumeration DateFebruary 10, 2017
Last NPPES UpdateJanuary 22, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1225576127 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 Names 1

Doing Business AsMending Roots

Other Identifiers 5

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

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

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

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.

DR. THEODORE SURDY PHD LP
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 Surdy Psychological Services LLC's NPI number?

The NPI number for Surdy Psychological Services LLC is 1225576127. It was assigned to this organization in the NPPES registry on February 10, 2017. The provider is doing business as Mending Roots.

Where is Surdy Psychological Services LLC located?

Surdy Psychological Services LLC is located at 1227 Caledonia St, Mankato, MN 56001. The listed phone number is (507) 388-8874.

What is Surdy Psychological Services LLC's specialty?

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

What insurance does Surdy Psychological Services LLC accept?

Health plans from HealthPartners and Sanford Health Plan list Surdy Psychological Services LLC 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 Surdy Psychological Services LLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.