Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tharaki Siyaguna

Individual provider Specialist · NPI 1821571159

Tharaki Siyaguna is a Clinical Psychologist in Moorhead, Minnesota. Qualified in 2019, 7 years ago. Practices with Solutions Behavioral Healthcare Professionals PC, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1547 30th Ave S
Moorhead, MN 56560-5055
Phone: (218) 287-4338
Fax: (218) 287-5928
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6711 (MN)
Specialist Taxonomy 174400000X

Record details

NPI number1821571159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address1547 30th Ave S, Moorhead, MN 56560-5055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Solutions Behavioral Healthcare Professionals Pc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moorhead