Roy John Sutherland, PHD, ABPP,LADC,MHA
NPI 1073820379ActiveIndividual· Psychologist· New Brighton, MN
Psychologist (PHD, ABPP,LADC,MHA) in New Brighton, Minnesota, licensed in MN, with an NPI issued in September 2010. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1073820379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, ABPP,LADC,MHA |
| Sole proprietor | Yes |
| NPI issued | Sep 8, 2010 |
| Last updated in NPPES | May 6, 2022 |
| Certified by provider | May 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP5295 | MN |
| Psychologist, Counseling | 103TC1900X | LP5295 | 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) |
|---|
Other Psychologist providers in New Brighton
- 1417040122
- 1952149437
- 1205869021
- 1285659946
- 1033354154
- 1407983133
- 1477984433
- 1558646836
- 1578188207
- 1366475352
- 1861004160
- 1780354464