JACKIE SUE NIEMAND LIC PSYCHOLOGIST
NPI 1417958893
Psychologist in Stillwater, MN

Active since August 09, 2005
6381 OSGOOD AVE N STE 8, STILLWATER, MN 55082(651) 275-9680(651) 430-9296 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2021, Aug 28, 2020 (2 updates tracked since 2020).

About Jackie Sue Niemand Lic Psychologist NPPES

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

JACKIE SUE NIEMAND LIC PSYCHOLOGIST (NPI 1417958893) is an individual psychologist in Stillwater, Minnesota, licensed in Minnesota (LP3518) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1417958893
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACKIE SUE NIEMANDCredential: LIC PSYCHOLOGIST
Location Address6381 OSGOOD AVE N STE 8Stillwater, MN 55082-6182
Mailing Address6381 Osgood Ave N Ste 8Stillwater, MN 55082-6182 · (651) 275-9680 · Fax (651) 430-9296
Fax(651) 430-9296
Sole ProprietorYes
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
NPI 1417958893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3518
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License LP3518 (MN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LP3518 (MN)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License LP3518 (MN)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License LP3518 (MN)
6381 OSGOOD AVE N STE 8, Stillwater, MN 55082

Other Identifiers 3

Other56B45NIMN · Blue Cross Blue Shield Mn
Other6236625MN · United Behavioral Health
Medicaid154015700MN

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 Jackie Niemand's NPI number?

The NPI number for Jackie Niemand is 1417958893. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Jackie Niemand located?

Jackie Niemand practices at 6381 Osgood Ave N Ste 8, Stillwater, MN 55082. The listed phone number is (651) 275-9680.

What is Jackie Niemand's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jackie Niemand was last updated on February 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.