JACKIE SUE NIEMAND Lic Psychologist
NPI 1417958893
Psychologist, Cognitive & Behavioral in Stillwater,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 9, 2005

Contact Information

6381 Osgood Ave N Ste 8
Stillwater,
Post Code: 55082
Phone: (651) 275-9680
Fax: (651) 430-9296

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Jackie Sue Niemand Lic Psychologist in Stillwater - Psychologist, Cognitive & Behavioral

Jackie Sue Niemand Lic Psychologist is a Psychologist, Cognitive & Behavioral in Stillwater, . Jackie Sue Niemand Lic Psychologist practices all healthcare services and medical treatments related to Psychologist, Cognitive & Behavioral. The NPI Number for Jackie Sue Niemand Lic Psychologist is 1417958893. The last update date is 2021-02-10.

Jackie Sue Niemand Lic Psychologist's current location address is 6381 Osgood Ave N Ste 8, Stillwater, . You can contact this provider via phone number (651) 275-9680 and fax number (651) 430-9296. The mailing address for Jackie Sue Niemand Lic Psychologist is 6381 Osgood Ave N Ste 8, Stillwater, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1417958893
Provider Name
JACKIE SUE NIEMAND Lic Psychologist
Gender
Female
Entity Type
Individual
Location Address
6381 Osgood Ave N Ste 8, Stillwater,
Location Phone
(651) 275-9680
Location Fax
(651) 430-9296
Mailing Address
6381 Osgood Ave N Ste 8, Stillwater, Minnesota(MN)
Mailing Phone
651-275-9680
Mailing Fax
651-430-9296
Enumeration Date
2005-08-09
Last Update Date
2021-02-10
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
-
License No.
LP3518
License State
Minnesota (MN)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 103TB0200X Cognitive & Behavioral Psychologist

Psychologist, Cognitive & Behavioral

LP3518 (Minnesota)
2 103TC1900X Counseling Psychologist

Psychologist, Counseling

LP3518 (Minnesota)
3 103TC2200X Clinical Child & Adolescent Psychologist

Psychologist, Clinical Child & Adolescent

LP3518 (Minnesota)
4 103TF0000X Family Psychologist

Psychologist, Family

LP3518 (Minnesota)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
154015700 MEDICAID (05) Minnesota (MN)
56B45NI Other (non-Medicare) (01) Minnesota (MN) Blue Cross Blue Shield MN
6236625 Other (non-Medicare) (01) Minnesota (MN) United Behavioral Health

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417958893
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242718516818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 242718516818
2 + 4 + 2 + 7 + 1 + 8 + 5 + 1 + 6 + 8 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 3 3

The NPI number 1417958893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164425112 BRIAN JOHN ISETTS
Individual
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RED WING, Minnesota (MN)
651-385-8353
1114920147 RIVER OAKS HOME HEALTH CARE LLC
Organization
Home Health 900 3RD ST
INTERNATIONAL FALLS, Minnesota (MN)
218-283-3031
1073516266 JOSEPH MICHAEL KLICK
Individual
Nurse Anesthetist, Certified Registered 717 S STATE ST
FAIRMONT, Minnesota (MN)
507-235-3939
1396748307 LIFESCAN MINNESOTA LLC
Organization
Clinic/Center, Radiology 3955 PARKLAWN AVE
EDINA, Minnesota (MN)
952-893-1997
1043213218 MICHAEL JOSEPH BAWEK
Individual
Chiropractor 10532 DREW AVE S
BLOOMINGTON, Minnesota (MN)
952-884-1910