Donae Verbena Gustafson, PSY. D.
NPI 1598820367ActiveIndividual· Psychologist, Clinical· Stillwater, MN
Psychologist, Clinical (PSY. D.) in Stillwater, Minnesota, licensed in MN, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1598820367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY. D. |
| Sole proprietor | Yes |
| NPI issued | Dec 22, 2006 |
| Last updated in NPPES | May 12, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP 3566 | 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) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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