Suzanne L. Kish, PSYD, LP
NPI 1528040342ActiveIndividual· Psychologist, Clinical· Burnsville, MN
Psychologist, Clinical (PSYD, LP) in Burnsville, Minnesota, licensed in MN, with an NPI issued in November 2005. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1528040342 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LP |
| Sole proprietor | No |
| NPI issued | Nov 17, 2005 |
| Last updated in NPPES | Mar 18, 2024 |
| Certified by provider | Mar 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP3833 | 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) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 31 clinical psychologists in Burnsville · All clinical psychologists in Minnesota