AUTUMN M BUSSUVANNO PSYD, LP
NPI 1013525021
Psychologist in Minneapolis, MN

NPI Status: Active since July 15, 2020

Contact Information

701 PARK AVE
MINNEAPOLIS, MN
ZIP 55415
Phone: (612) 873-3000

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  • Individual
  • Female
  • Years of Experience 5
  • Psychologist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About AUTUMN BUSSUVANNO

This page provides the complete NPI Profile along with additional information for Autumn Bussuvanno, a provider established in Minneapolis, Minnesota with a medical specialization in Psychologist and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1013525021 assigned on July 2020. The practitioner's primary taxonomy code is 103T00000X with license number LP6858 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1013525021
Provider Name
AUTUMN M BUSSUVANNO PSYD, LP
Gender
Female
Entity Type
Individual
Location Address
701 PARK AVE MINNEAPOLIS, MN 55415
Location Phone
(612) 873-3000
Mailing Address
701 PARK AVE MINNEAPOLIS, MN 55415
Mailing Phone
(612) 873-3000
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
07-15-2020
Last Update Date
06-11-2024
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A psychologist like Autumn Bussuvanno studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
LP6858
License State
MN
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Medicare Participation & PECOS Enrollment Status

Autumn Bussuvanno is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Autumn Bussuvanno is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133596414

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20221028001342

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Autumn Bussuvanno is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HENNEPIN COUNTY MEDICAL CENTER701 PARK AVENUE
MINNEAPOLIS, MN 55415
(612) 873-6422Acute Care Hospitals

Reviews for AUTUMN M BUSSUVANNO PSYD, LP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013525021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231021004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 0 + 2 + 1 + 0 + 0 + 4 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1013525021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750387734MR. DAVID C TEMPLEMAN M.D.
Individual
Orthopaedic Surgery701 PARK AVE DEPARTMENT OF ORTHOPEDICS
MINNEAPOLIS, MN 55415
(612) 873-8595
1306838644 BARBARA KNOLL MD
Individual
Radiology (Diagnostic Radiology)701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2036
1215913280DR. PATRICK ALLEN TESTERMAN MD
Individual
Anesthesiology701 PARK AVE ANESTHESIA P4
MINNEAPOLIS, MN 55415
(612) 873-3458
1346201217MS. CAROL JEAN LUDOWESE MS
Individual
Genetic Counselor, MS701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-4686
1174588552 DANA CAROL BROWN MS
Individual
Genetic Counselor, MS701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-9308
1508821729 JANE M SKJERVEN CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1386609519 ETHEL L PASTARR CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1700841947 KATHLEEN A TURI CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1164487302 KAREN S VON RUDEN CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1326003583 RITA K O'REILLY CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1518922673 KATHLEEN L FUREY CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1225094949 MARY B MALOTKY CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1770549404 KATHLEEN T PFAFF CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1225094048 KAYDI NOVACK CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1639135528 LAUREL J RIEDEL CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1417913823 SUSAN A NIXON CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1073579108 JULIA M CROSS CNM
Individual
Advanced Practice Midwife701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-2203
1750347704MRS. KELLE JEAN STEENBLOCK MS
Individual
Genetic Counselor, MS701 PARK AVE
MINNEAPOLIS, MN 55415
(612) 873-9301
1710935655DR. CONSTANCE A ADKISSON M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)701 PARK AVE HCMC G-7
MINNEAPOLIS, MN 55415
(612) 873-2686
1942251012 DONALD JACOBS MD
Individual
Surgery701 PARK AVE S140
MINNEAPOLIS, MN 55415
(612) 873-5479

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013525021, enumerated in the NPI registry as an "individual" on July 15, 2020

The provider is located at 701 Park Ave Minneapolis, Mn 55415 and the phone number is (612) 873-3000

The provider's speciality is Psychologist with taxonomy code 103T00000X

The provider has more than 5 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

The practitioner is affiliated to the following hospital(s): HENNEPIN COUNTY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 15, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.