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THARAKI SIYAGUNA
NPI 1821571159
Psychologist - Clinical in Moorhead, MN

Active since September 12, 2018PECOS EnrolledAccepts Medicare Assignment
1547 30TH AVE S, MOORHEAD, MN 56560(218) 287-4338(218) 287-5928 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2021, Sep 12, 2018 (2 updates tracked since 2018).

About Tharaki Siyaguna NPPES

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

THARAKI SIYAGUNA (NPI 1821571159) is an individual clinical provider in Moorhead, Minnesota, licensed in Minnesota (LP6711) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821571159
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTHARAKI SIYAGUNA
Location Address1547 30TH AVE SMoorhead, MN 56560-5055
Mailing Address1547 30th Ave SMoorhead, MN 56560-5055 · (218) 287-4338 · Fax (218) 287-5928
Phone(218) 287-4338
Fax(218) 287-5928
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 12, 2018
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1821571159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP6711
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.
Also ListedSpecialistTaxonomy 174400000X
1547 30TH AVE S, Moorhead, MN 56560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tharaki Siyaguna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557769171
PECOS Enrollment IDI20211013000835
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MCKENZIE JOHNSON
Behavior Analyst
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
KACI LONGTIN
Specialist
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
ALEXIS SERR
Behavior Technician
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
BROOKLYN BERGER
Behavior Technician
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
ZOEY HALLADA
Behavior Technician
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
ASHLEY JONES
Specialist
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
BRIANNA CHATTERTON
Specialist
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
ASHLEY RAE GUENTHER
Specialist
1547 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338

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 Tharaki Siyaguna's NPI number?

The NPI number for Tharaki Siyaguna is 1821571159. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Tharaki Siyaguna located?

Tharaki Siyaguna practices at 1547 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 287-4338.

What is Tharaki Siyaguna's specialty?

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

Is Tharaki Siyaguna enrolled in Medicare?

Yes. Tharaki Siyaguna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tharaki Siyaguna accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Tharaki Siyaguna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tharaki Siyaguna was last updated on October 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.