Timothy Ryan Rysavy, PSYD, LP
NPI 1073052163ActiveIndividual· Psychologist· St. Cloud, MN
Psychologist (PSYD, LP) with St Cloud Neurobehavioral Associates PA, practicing in St. Cloud, Minnesota. Medicare paid $11,436 for services to 17 patients in 2024.
Overview
| NPI | 1073052163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LP |
| Sole proprietor | No |
| NPI issued | Feb 22, 2017 |
| Last updated in NPPES | Feb 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP6105 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 209 across 5 procedure codes |
| Paid by Medicare | $11,436 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- St Cloud Neurobehavioral Associates PASaint Cloud, MN · 2 clinicians