SUZANNE BETH CANDELL PHD, LP
NPI 1407864515
Psychologist - Health Service in Saint Paul, MN

Active since August 04, 2006Opted out of Medicare · through Jul 1, 2028
2550 UNIVERSITY AVE W, SUITE 189S, SAINT PAUL, MN 55114(651) 332-7474(651) 332-7475 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Suzanne Beth Candell Phd, Lp NPPES

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

SUZANNE BETH CANDELL PHD, LP (NPI 1407864515) is an individual health service provider in Saint Paul, Minnesota, licensed in Minnesota (LP3830) and active in the NPI registry since August 2006. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407864515
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameSUZANNE BETH CANDELLCredential: PHD, LP
Location Address2550 UNIVERSITY AVE W, SUITE 189SSaint Paul, MN 55114-1052
Mailing Address2550 University Ave W, Suite 189sSaint Paul, MN 55114-1052 · (651) 332-7474 · Fax (651) 332-7475
Fax(651) 332-7475
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407864515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in MN · LP3830
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
2550 UNIVERSITY AVE W, Saint Paul, MN 55114

Other Identifiers 3

Other266P0CAMN · Blue Cross
Other981231016105MN · Preferred One
Other61-71476MN · Medica

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Suzanne Beth Candell Phd, Lp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2010 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2010
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
2550 UNIVERSITY AVE W, STE 435 S
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Dietitian, Registered
2550 UNIVERSITY AVE W
SAINT PAUL, MN 55114
Marriage & Family Therapist
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Psychologist (Clinical)
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Physical Therapist
2550 UNIVERSITY AVE W, SUITE 189S
SAINT PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Physician Assistant (Medical)
2550 UNIVERSITY AVE W, SUITE 110N
SAINT PAUL, MN 55114

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 Suzanne Candell's NPI number?

The NPI number for Suzanne Candell is 1407864515. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Suzanne Candell located?

Suzanne Candell practices at 2550 University Ave W Suite 189S, Saint Paul, MN 55114. The listed phone number is (651) 332-7474.

What is Suzanne Candell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Suzanne Candell enrolled in Medicare?

No. Suzanne Candell has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Suzanne Candell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.