JACKIE SUE NIEMAND (LIC PSYCHOLOGIST) – Psychologist, NPI 1417958893

JACKIE SUE NIEMAND (LIC PSYCHOLOGIST) is a healthcare provider. based in Stillwater, Minnesota. specializing in Psychologist. They hold the professional credentials LIC PSYCHOLOGIST. They hold a License No. LP3518 (MN). The NPI Number for JACKIE SUE NIEMAND (LIC PSYCHOLOGIST) is 1417958893

Main info

Female
Sole Proprietor
Name
JACKIE SUE NIEMAND (LIC PSYCHOLOGIST)
NPI
1417958893
Phone
(651) 275-9680
Address
6381 OSGOOD AVE N STE 8
Enumeration Date
9 August 2005
Last Update Date
10 February 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JACKIE SUE NIEMAND (LIC PSYCHOLOGIST)

  • 6381 OSGOOD AVE N STE 8

    STILLWATER, MN 550826182

    Phone: (651) 275-9680

    Fax: (651) 430-9296

    Type: Mailing

  • 304, 3rd Street South, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 550824988

    Phone: (651) 275-9680

    Fax: (651) 430-9296

    Type: Mailing

  • Stillwater Boulevard North, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 550825485

    Phone: (651) 275-9680

    Fax: (651) 430-9296

    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 55082)

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Frequently asked questions

Can I cross-check JACKIE SUE NIEMAND (LIC PSYCHOLOGIST) using NPI 1417958893?
NPI 1417958893 belongs to JACKIE SUE NIEMAND (LIC PSYCHOLOGIST); compare other details if you need extra assurance.
Active or inactive — what applies to JACKIE SUE NIEMAND (LIC PSYCHOLOGIST)?
You should see JACKIE SUE NIEMAND (LIC PSYCHOLOGIST) as active in CMS-hosted NPPES data.
What expertise is attributed to JACKIE SUE NIEMAND (LIC PSYCHOLOGIST)?
JACKIE SUE NIEMAND (LIC PSYCHOLOGIST)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACKIE SUE NIEMAND (LIC PSYCHOLOGIST)?
Travel planning: use Stillwater, Minnesota as the reference point for JACKIE SUE NIEMAND (LIC PSYCHOLOGIST), then confirm.
When was this NPI issued?
Enumeration for JACKIE SUE NIEMAND (LIC PSYCHOLOGIST) is noted as August 9, 2005 where the registry provides it.

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