NANCY MARIE CUSACK M.A.
NPI 1639232804
Psychologist in Coon Rapids, MN

Active since December 19, 2006
425 COON RAPIDS BLVD NW STE 200, SUITE 100, COON RAPIDS, MN 55433(763) 784-3008 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nancy Marie Cusack M.a. NPPES

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

NANCY MARIE CUSACK M.A. (NPI 1639232804) is an individual psychologist in Coon Rapids, Minnesota, licensed in Minnesota (LP 3907) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1639232804
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameNANCY MARIE CUSACKCredential: M.A.
Location Address425 COON RAPIDS BLVD NW STE 200, SUITE 100Coon Rapids, MN 55433-2753
Mailing Address4023 24th Ave SMinneapolis, MN 55406-3023 · (612) 823-6578
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateDecember 5, 2011
NPI 1639232804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP 3907
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.
425 COON RAPIDS BLVD NW STE 200, Coon Rapids, MN 55433

Other Identifiers 2

Medicaid201945100MN
OtherHP 37869MN · Health Partners

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.

Marriage & Family Therapist
425 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433
Marriage & Family Therapist
425 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433

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 Nancy Cusack's NPI number?

The NPI number for Nancy Cusack is 1639232804. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Nancy Cusack located?

Nancy Cusack practices at 425 Coon Rapids Blvd NW Ste 200 Suite 100, Coon Rapids, MN 55433. The listed phone number is (763) 784-3008.

What is Nancy Cusack'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 Nancy Cusack was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.