Michael Jed Fuhrman, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

LP0877 Issued in MN

Practice address

6600 France Ave S
Suite 145
Minneapolis, MN 55435-1805

Phone

(952) 928-9003

Fax

(952) 928-2000

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwestern Neuropsychology PLLC

  • Clinical Neuropsychologist
  • Minneapolis, MN
  • NPI 1871701912
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114135241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 145",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "952-928-9003",
            "fax_number": "952-928-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 145",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "952-928-9003",
            "fax_number": "952-928-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMAN",
        "first_name": "MICHAEL",
        "middle_name": "JED",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP0877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "218L2FU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John F Fugate, M.D.
• Erin Louise Fugleberg
• Dawn Marie Fuglestad, PA
• Ryan Fuglestad, MD
• Cordel Fuher, MD
• Naomi Fujioka, MD
• Caitlin Fujisawa
• Celia Joyce Fulco, PHD LP
• Travis Steven Fulk, MD
• Full Circle Home Health LLC

• Clinical Neuropsychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.