SEAN JOSEPH FIELDS (PSYD) – Clinical Psychologist, NPI 1730652173

SEAN JOSEPH FIELDS (PSYD) is a healthcare provider. based in Isanti, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. LP6301 (MN). The NPI Number for SEAN JOSEPH FIELDS (PSYD) is 1730652173

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
SEAN JOSEPH FIELDS (PSYD)
NPI
1730652173
Phone
(763) 248-9324
Address
401 E DUAL BLVD STE 120
Enumeration Date
8 January 2019
Last Update Date
8 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7636002911
Graduation Year
2016 (10 years ago)
PAC ID
7517209349
Group Practice PAC ID
9638552813
Professional Enrollment ID
I20190429000063
Address ID
MN550407137IS201XXWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for SEAN JOSEPH FIELDS (PSYD)

  • East Dual Boulevard, Isanti, Isanti County, Minnesota, 55040, United States

    ISANTI, MN 550407164

    Phone: (763) 248-9324

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190429000063IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638552813View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Where can patients find SEAN JOSEPH FIELDS (PSYD)'s NPI?
You can confirm SEAN JOSEPH FIELDS (PSYD) with NPI 1730652173; it appears in the national provider directory.
Is SEAN JOSEPH FIELDS (PSYD) active in the national directory?
SEAN JOSEPH FIELDS (PSYD)'s public NPI profile is in an active state.
Does SEAN JOSEPH FIELDS (PSYD) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for SEAN JOSEPH FIELDS (PSYD). Clinical services aligned with this taxonomy classification.
Does SEAN JOSEPH FIELDS (PSYD) practice in Minnesota?
You will see Isanti, Minnesota on file for SEAN JOSEPH FIELDS (PSYD) alongside any extra practice locations.
How can I contact SEAN JOSEPH FIELDS (PSYD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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