Active NPI
Goldfinch Neurobehavioral Services, LLC
- Clinical Neuropsychologist
- Eden Prairie, MN
National Provider Identifier
1083220602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- GOLDFINCH NEUROBEHAVIORAL SERVICES, LLC
- Practice address
- 6640 Shady Oak Rd Ste 375
Eden Prairie, MN 55344-7834 - Phone
- (952) 236-1267
- NPI assigned
- Sep 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheryl Pleiss, PHD, LP
- Title
- Owner
- Phone
- (952) 236-1267
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Clinical Psychologist | 103TC0700X |
Addresses
Primary practice location
6640 Shady Oak Rd Ste 375
Eden Prairie, MN 55344-7834
Mailing address
6640 Shady Oak Rd Ste 375
Eden Prairie, MN 55344-7834
Phone (952) 236-1267
National Provider Directory
National Provider DirectoryLocations
6640 Shady Oak Rd
Ste 375
Eden Prairie, MN 55344
Phone (207) 522-5497
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Eden Prairie, MN
- NPI 1609399153
-
- Psychologist
- Minneapolis, MN
- NPI 1306636659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1083220602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 SHADY OAK RD STE 375",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447834",
"telephone_number": "952-236-1267",
"fax_number": "952-236-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 SHADY OAK RD STE 375",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447834",
"telephone_number": "952-236-1267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDFINCH NEUROBEHAVIORAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "PLEISS",
"authorized_official_first_name": "SHERYL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-236-1267",
"authorized_official_credential": "PHD, LP"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.