MS. SUZANNE E DERHEIM (NPI# 1548709140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548709140 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE E DERHEIM |
| Credential | LMFT |
| Practice Address |
5500 94th Ave N Brooklyn Park MN 55443-1992 |
| Practice Telephone | 7637628835 |
| Practice Fax Number | 7633156678 |
| Mailing Telephone | 7637628835 |
| Mailing Fax Number | 7633156678 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2849 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 355355800 | 05 |
| Street Address |
5500 94TH AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841514734 | Sara Jean Polley | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-03-21 |
| 1497315188 | Samantha Dannley Hirschey | Social Worker | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2019-06-16 |
| 1578129326 | Jessica Brisbois | Social Worker | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2019-05-17 |
| 1679051163 | Caitlin Jean Bishop | Counselor | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2018-08-06 |
| 1255827481 | Ingrid Ruth Wyckoff | Nurse Practitioner | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2018-07-11 |
| 1275064461 | Megan Eiselt | Social Worker | 5500 94th Ave N, Brooklyn Park, MN 55443 | 2017-03-21 |
| 1447702279 | Ashley Christianson | Counselor | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2016-10-27 |
| 1205270238 | Claire Anna Garber | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443 | 2013-04-21 |
| 1528352051 | Sogand B Ghassemi | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2011-06-01 |
| 1396045183 | Meghan Rose Tyler | Marriage & Family Therapist | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636871 | Arianne Johnston | Marriage & Family Therapist | 8925 Zane Ave N, Brooklyn Park, MN 55443-1630 | 2019-02-25 |
| 1922513381 | Nicholas David Vasquez | Marriage & Family Therapist | 6840 78th Ave N, Brooklyn Park, MN 55445-2760 | 2017-12-07 |
| 1710267141 | David Swan | Marriage & Family Therapist | 7808 Scott Ave N, Brooklyn Park, MN 55443-3019 | 2011-08-17 |
| 1972028306 | Katie Ann Ullman | Marriage & Family Therapist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-08-07 |
| 1003337643 | Jennifer Anne Franke | Marriage & Family Therapist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-07-05 |
| 1285095943 | Sarah Hoffman | Marriage & Family Therapist | 9400 Zane Ave N, Brooklyn Park, MN 55443 | 2016-03-09 |
| 1427414143 | Jamie Baker Barten | Marriage & Family Therapist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2016-01-11 |
| 1396182614 | Allison L Bohlke | Marriage & Family Therapist | 7000 78th Ave N, Brooklyn Park, MN 55445-2744 | 2013-05-28 |
| 1518205731 | Sarah Jane Neujahr | Marriage & Family Therapist | 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 | 2013-01-23 |
| 1396045183 | Meghan Rose Tyler | Marriage & Family Therapist | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-10-26 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
Please comment or provide details below to improve the information on MS. SUZANNE E DERHEIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.