Organization Active NPI

Goldfinch Neurobehavioral Services, LLC

  • Clinical Neuropsychologist
  • Eden Prairie, MN
National Provider Identifier
1083220602
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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

Updated by the provider on Oct 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheryl Pleiss, PHD, LPNPI 1609399153
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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.