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SUSAN E NICOL PHD LLC
NPI 1609214311
Psychologist - Clinical in St Louis Park, MN

Active since June 05, 2013
4500 PARK GLEN RD, SUITE 270, ST LOUIS PARK, MN 55416(952) 929-9478(952) 929-9548 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan E Nicol Phd Llc NPPES

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

SUSAN E NICOL PHD LLC (NPI 1609214311) is a healthcare organization registered as a clinical in St Louis Park, Minnesota and active in the NPI registry since June 2013. The organization lists Susan E Nicol, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1609214311
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUSAN E NICOL PHD LLC
Location Address4500 PARK GLEN RD, SUITE 270St Louis Park, MN 55416-4871
Mailing Address4500 Park Glen Rd, Suite 270St Louis Park, MN 55416-4871 · (952) 929-9478 · Fax (952) 929-9548
Phone(952) 929-9478
Fax(952) 929-9548
Organization SubpartNo
Authorized OfficialSusan E NicolClinical Psychologist · (952) 929-9478
Enumeration DateJune 5, 2013
✔ NPI 1609214311 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 · LP0182
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.
4500 PARK GLEN RD, St Louis Park, MN 55416
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Other Identifiers 1

Medicaid424352800MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

THOMAS JACOBS MA, LMFT
Marriage & Family Therapist
4500 PARK GLEN RD, #150
ST LOUIS PARK, MN 55416
Hennepin County (612) 872-9446
MS. NANCY JANE BARRON M.A., L.P.
Marriage & Family Therapist
4500 PARK GLEN RD, #150
ST LOUIS PARK, MN 55416
Hennepin County (612) 978-1400
DAWN DRAAYER-THIBODEAU, LLC
Social Worker (Clinical)
4500 PARK GLEN RD, SUITE 155
ST LOUIS PARK, MN 55416
Hennepin County (952) 334-1213
RENEE T VONWEISS PHD LP
Psychologist (Clinical)
4500 PARK GLEN RD, SUITE 450
ST LOUIS PARK, MN 55416
Hennepin County (952) 444-9744
DR. JENNIFER LYNN WIGTON PH.D.
Psychologist
4500 PARK GLEN RD, SUITE 151
SAINT LOUIS PARK, MN 55416
Hennepin County (612) 723-0460
DR. SIGNE DYSKEN M.D.
Psychiatry & Neurology (Psychiatry)
4500 PARK GLEN RD, SUITE 360
ST LOUIS PARK, MN 55416
Hennepin County (612) 822-2111
DR. VERNON T DEVINE PH.D.
Psychologist (Clinical)
4500 PARK GLEN RD, SUITE 360
ST LOUIS PARK, MN 55416
Hennepin County (952) 929-9478
BENJAMIN POWERS LPC
Counselor (Mental Health)
4500 PARK GLEN RD, SUITE 155
ST LOUIS PARK, MN 55416
Hennepin County (612) 223-7992

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 Susan E Nicol Phd LLC's NPI number?

The NPI number for Susan E Nicol Phd LLC is 1609214311. It was assigned to this organization in the NPPES registry on June 5, 2013.

Where is Susan E Nicol Phd LLC located?

Susan E Nicol Phd LLC is located at 4500 Park Glen Rd Suite 270, St Louis Park, MN 55416. The listed phone number is (952) 929-9478.

What is Susan E Nicol Phd LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan E Nicol Phd LLC was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.