Individual provider Active NPI

Hannah Louise Weiss, PHD

  • Clinical Neuropsychologist
  • Plymouth, MN
National Provider Identifier
1295624559
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
LP7217 Issued in MN
Practice address
15600 36TH Ave N Ste 140
Plymouth, MN 55446-3372
Phone
(763) 308-5255
Fax
(612) 392-7974
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X LP7217 MN Primary

Addresses

Primary practice location

15600 36TH Ave N Ste 140
Plymouth, MN 55446-3372

Mailing address

15600 36TH Ave N Ste 140
Plymouth, MN 55446-3372
Phone (763) 308-5255

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250716001916 MN Practitioner - Clinical Psychologist 6002321205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Minnesota Medical School, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15600 36TH Ave N
Suite 140
Plymouth, MN 55446-3372
Phone (763) 308-5772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro PLLC Clinical Neuropsychologist CurrentSince Sep 1, 2025 Accepting new patients

Locations

15600 36th Ave N
Ste 140
Plymouth, MN 55446
Phone (763) 308-5255

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1295624559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N STE 140",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463372",
            "telephone_number": "763-308-5255",
            "fax_number": "612-392-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N STE 140",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463372",
            "telephone_number": "763-308-5255",
            "fax_number": "612-392-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "HANNAH",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP7217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.