DR. DONAE VERBENA GUSTAFSON PSY. D. NPI 1598820367

NPI Information

  • NPI: 1598820367
  • Provider Name: DR. DONAE VERBENA GUSTAFSON, PSY. D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6120 OREN AVE N
    STILLWATER, MN
    ZIP 55082
  • Phone: (651) 430-0888

Map and Directions

Get Directions

NPI Details

DR. Donae Verbena Gustafson, PSY. D. is a clinical psychologist in Stillwater, MN with 30 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Donae Verbena Gustafson, PSY. D. NPI is 1598820367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6120 OREN AVE N
STILLWATER, MN
ZIP 55082-155
Phone: (651) 430-0888
Fax: (651) 430-0889

The NPI 1598820367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 5/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalLP 3566MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
176-83570-00MEDICAIDMINNESOTA
258G12GUOTHERMINNESOTABCBS OF MN
361-62456OTHERMINNESOTAMEDICA
476-83570-00OTHERMINNESOTAMN MA
5HP16320OTHERMINNESOTAHEALTHPARTNERS
668-0001607MEDICARE UPINMINNESOTA
7000-562-8542OTHERMINNESOTAAETNA
811-5651OTHERMINNESOTAU CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI