DR. ANASTASIA SULLWOLD RISTAU (PHD LP) – Psychologist, NPI 1124049903

DR. ANASTASIA SULLWOLD RISTAU (PHD LP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Psychologist. They hold the professional credentials PHD LP. They hold a License No. LP4538 (MN). The NPI Number for DR. ANASTASIA SULLWOLD RISTAU (PHD LP) is 1124049903

Main info

Female
Name
DR. ANASTASIA SULLWOLD RISTAU (PHD LP)
NPI
1124049903
Phone
(612) 813-7634
Address
2525 CHICAGO AVE S, MAILSTOP 17306
Enumeration Date
21 July 2006
Last Update Date
10 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. ANASTASIA SULLWOLD RISTAU (PHD LP)

  • 2525 CHICAGO AVE S, MAILSTOP 17306

    INTEGRATIVE MEDICINE SUITE 306 CHILDRENS HOSPITAL

    MINNEAPOLIS, MN 55404

    Phone: (612) 813-7634

    Fax: (612) 813-7199

    Type: Mailing

  • 9400 ZANE AVE N

    BROOKLYN PARK, MN 554431814

    Phone: (763) 762-8800

    Fax: (763) 315-4669

    Type: Mailing

  • 111 HUNDERTMARK RD STE 205N

    CHASKA, MN 553181586

    Phone: (952) 903-1350

    Fax: (952) 426-3856

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 55404)

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Frequently asked questions

Is there an official ID for DR. ANASTASIA SULLWOLD RISTAU (PHD LP) in U.S. healthcare records?
The official identifier for DR. ANASTASIA SULLWOLD RISTAU (PHD LP) is NPI 1124049903.
Active or inactive — what applies to DR. ANASTASIA SULLWOLD RISTAU (PHD LP)?
You should see DR. ANASTASIA SULLWOLD RISTAU (PHD LP) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. ANASTASIA SULLWOLD RISTAU (PHD LP)?
DR. ANASTASIA SULLWOLD RISTAU (PHD LP)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. ANASTASIA SULLWOLD RISTAU (PHD LP) located near Minneapolis?
DR. ANASTASIA SULLWOLD RISTAU (PHD LP) currently maps to Minneapolis, Minnesota in this extract.
When was this NPI issued?
Enumeration for DR. ANASTASIA SULLWOLD RISTAU (PHD LP) is noted as July 21, 2006 where the registry provides it.

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