Surdy Psychological Services LLC
NPI 1225576127 · Clinical Psychologist · Mankato, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surdy Psychological Services LLC is a Clinical Psychologist organization in Mankato, MN (NPI 1225576127).
Provider details
- NPI number
- 1225576127
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Theodore Surdy, Ceo(507) 388-8874
- 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 tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mending Roots
Registry dates
- Enumerated
- 2017-02-10
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Surdy Psychological Services LLC's NPI number?
- Surdy Psychological Services LLC's National Provider Identifier (NPI) is 1225576127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surdy Psychological Services LLC?
- Surdy Psychological Services LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Surdy Psychological Services LLC located?
- Surdy Psychological Services LLC's practice location on file with NPPES is 1227 Caledonia St, Mankato, MN 56001-4329.
- What is Surdy Psychological Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Surdy Psychological Services LLC is (507) 388-8874.
- Does Surdy Psychological Services LLC accept Medicare?
- Surdy Psychological Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Surdy Psychological Services LLC?
- The authorized official listed on Surdy Psychological Services LLC's NPPES record is Theodore Surdy, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surdy Psychological Services LLC's NPI active?
- Yes — Surdy Psychological Services LLC's NPI (1225576127) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.