DR. NICHOLAS SEIVERT PH.D., L.P.
NPI 1588969612
Psychologist - Clinical in Bloomington, MN

Q: What is Nicholas Seivert's NPI number?

The NPI number for Nicholas Seivert is 1588969612. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Q: What is Nicholas Seivert's specialty?

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

Q: Is Nicholas Seivert enrolled in Medicare?

No. Nicholas Seivert has opted out of Medicare through January 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Seivert was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 20, 2011Opted out of Medicare · through Jan 27, 2027

7900 XERXES AVE S STE 1125, BLOOMINGTON, MN 55431(952) 854-2622(952) 854-3293 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Nicholas Seivert Ph.d., L.p. NPPES

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

DR. NICHOLAS SEIVERT PH.D., L.P. (NPI 1588969612) is an individual clinical provider in Bloomington, Minnesota, licensed in Minnesota (LP5709) and active in the NPI registry since January 2011. He has opted out of Medicare through January 27, 2027.

NPPES Registry Identity

NPI1588969612

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICHOLAS SEIVERTCredential: PH.D., L.P.

Location Address7900 XERXES AVE S STE 1125Bloomington, MN 55431-1112

Mailing Address7900 Xerxes Ave S Ste 1125Bloomington, MN 55431-1112 · (952) 854-2622 · Fax (952) 854-3293

Phone(952) 854-2622

Fax(952) 854-3293

Sole ProprietorYes

Enumeration DateJanuary 20, 2011

Last NPPES UpdateJune 9, 2022

NPPES CertifiedJune 9, 2022

✔ NPI 1588969612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MN · LP5709✔ Licensed in NY · 018256

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.

7900 XERXES AVE S STE 1125, Bloomington, MN 55431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nicholas Seivert Ph.d., L.p. 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 January 27, 2025 through January 27, 2027.

Opt-Out Effective DateJanuary 27, 2025

Opt-Out In Effect ThroughJanuary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

SARA J. W. BIEBL, PH.D., LICENSED PSYCHOLOGIST, PLLC

Psychologist (Clinical)

7900 XERXES AVE S STE 1125
BLOOMINGTON, MN 55431

Hennepin County (952) 854-2622

DR. STACEY WRIGHT PSYD

Psychologist (Counseling)

7900 XERXES AVE S STE 1125
BLOOMINGTON, MN 55431

Hennepin County (952) 854-2622

DR. ANN ELIZABETH LAYNE PH.D.

Psychologist (Clinical)

7900 XERXES AVE S STE 1125
BLOOMINGTON, MN 55431

Hennepin County (952) 854-2622

JESSICA LABUZ PHD

Psychologist (Clinical)

7900 XERXES AVE S STE 1125
BLOOMINGTON, MN 55431

Hennepin County (612) 460-0446

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 Nicholas Seivert's NPI number?

The NPI number for Nicholas Seivert is 1588969612. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Where is Nicholas Seivert located?

Nicholas Seivert practices at 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431. The listed phone number is (952) 854-2622.

What is Nicholas Seivert's specialty?

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

Is Nicholas Seivert enrolled in Medicare?

No. Nicholas Seivert has opted out of Medicare through January 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicholas Seivert was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.