Susan Gustafson
LP | Clinical Psychologist | 24+ years Exp
219 Se Main St Ste 400, Minneapolis
Minnesota, 55414-2151
612-886-2524 612-886-2538
Maps & DirectionsSusan Gustafson is a Minneapolis, Minnesota based psychologist with 24 years of experience in Clinical Psychology. She completed her graduation in 2001. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Susan Gustafson is LP3594 for Clinical Psychology in Minnesota. Her current practice location is 219 Se Main St Ste 400, Minneapolis. Patients can reach her at 612-886-2524 or can fax her at 612-886-2538. Susan Gustafson is LP in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1073686655.
Susan Gustafson is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Susan Gustafson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Susan Gustafson |
| Specialization: | Clinical Psychology |
| Gender: | Female |
| Credentials: | LP |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 219 Se Main St Ste 400, Minneapolis, Minnesota, 55414-2151 |
| Phone: | 612-886-2524 |
| Fax: | 612-886-2538 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8123084993 |
| Enrollment ID: | I20041203000117 |
| NPI Number: | 1073686655 |
| NPI Enumeration Date: | 15 Nov, 2006 |
| NPI Last Update On: | 04 Aug, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan Gustafson are as mentioned below.
| License Number | Specialization | State | Status | |
| LP3594 | Clinical Psychology | Minnesota | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Susan Gustafson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Stone Arch Psychology And Health Services (6709045784) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Susan Gustafson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 025523800 | Medicaid | | |
| 6153482 | Other | Minnesota | MEDICA CHOICE |
| HP49453 | Other | Minnesota | HEALTHPARTNERS |
| 54P16GU | Other | Minnesota | BCBS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Susan Gustafson 219 Se Main St Ste 400, Minneapolis, Minnesota |
| Zip: | 55414-2151 |
| Phone Number: | 612-886-2524 |
| Fax Number: | 612-886-2538 |
Patients can reach Susan Gustafson at
219 Se Main St Ste 400, Minneapolis, Minnesota or can
call to book an appointment on 612-886-2524.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.