Theodore Surdy, PHD LP
NPI 1063463347 · Clinical Psychologist · Mankato, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Surdy, PHD LP is a Clinical Psychologist provider in Mankato, MN (NPI 1063463347).
Provider details
- NPI number
- 1063463347
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD LP
- Sex
- Male
- Sole proprietor
- No
- License
- LP3385 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
734 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 45 Minutes90834 | 349 | $101 |
| Administration of Psychological Or Neuropsychological Test By Technician, Each Additional 30 Minutes96139 | 171 | $35 |
| Evaluation of Neuropsychological Test, Each Additional Hour96133 | 81 | $95 |
| Administration of Psychological Or Neuropsychological Test By Technician, First 30 Minutes96138 | 43 | $34 |
| Evaluation of Psychological Test, Each Additional Hour96131 | 29 | $83 |
| Psychiatric Diagnostic Evaluation90791 | 27 | $168 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Frequently asked questions
- What is Theodore Surdy's NPI number?
- Theodore Surdy's National Provider Identifier (NPI) is 1063463347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Surdy's specialty?
- Theodore Surdy is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Theodore Surdy located?
- Theodore Surdy's practice location on file with NPPES is 1227 Caledonia St, Mankato, MN 56001-4329.
- What is Theodore Surdy's phone number?
- The practice phone number listed in the NPPES registry for Theodore Surdy is (507) 388-8874.
- Does Theodore Surdy accept Medicare?
- Theodore Surdy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Surdy's NPI active?
- Yes — Theodore Surdy's NPI (1063463347) is active in the NPPES registry as of the last update on 2023-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.