Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jackie Sue Niemand, LIC PSYCHOLOGIST

Psychologist in Stillwater, MN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417958893

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Registry record

Entity type Individual (Type 1)

Name Jackie Sue Niemand

Credential LIC PSYCHOLOGIST

Sex Female

Practice address Stillwater, MN, 55082

Phone (651) 275-9680

Fax (651) 430-9296

Enumeration date Aug 9, 2005

Last updated in NPPES Feb 10, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License LP3518 (MN) Secondary

103TF0000X Family Psychologist Behavioral Health & Social Service Providers · License LP3518 (MN) Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers · License LP3518 (MN) Primary

103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers · License LP3518 (MN) Secondary

103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers · License LP3518 (MN) Secondary

Other identifiers

Identifier	Type	State	Issuer
56B45NI	Other	MN	BLUE CROSS BLUE SHIELD MN
6236625	Other	MN	UNITED BEHAVIORAL HEALTH
154015700	Medicaid	MN	-

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A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jackie Niemand?

Jackie Niemand is registered in NPPES with the primary taxonomy of Psychologist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-10.