Theodore Surdy, PHD LP
NPI 1063463347ActiveIndividual· Psychologist, Clinical· Mankato, MN
Psychologist, Clinical (PHD LP) in Mankato, Minnesota, licensed in MN, with an NPI issued in May 2006. Medicare paid $50,871 for services to 40 patients in 2024.
Overview
| NPI | 1063463347 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD LP |
| Sole proprietor | No |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Mar 16, 2023 |
| Certified by provider | Mar 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP3385 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 809 across 14 procedure codes |
| Paid by Medicare | $50,871 |
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All 25 clinical psychologists in Mankato · All clinical psychologists in Minnesota