Individual provider Active NPI

Bret Schneider, PSY.D.

  • Clinical Psychologist
  • Minnetonka, MN
National Provider Identifier
1336591007
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP6087 Issued in MN
Practice address
14525 Highway 7 # 355
Minnetonka, MN 55345-3734
Phone
(612) 356-2746
Fax
(612) 712-9214
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP6087 MN Primary

Addresses

Primary practice location

14525 Highway 7 # 355
Minnetonka, MN 55345-3734

Mailing address

14525 Highway 7 Ste 355
Minnetonka, MN 55345-3747
Phone (612) 356-2756

Other practice location 1

3460 Washington Dr Ste 207
Eagan, MN 55122-4302
Phone (612) 356-2756

Other identifiers 1

IdentifierTypeStateIssuer
1023258662MedicaidMN

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
I20170221000784 MN Practitioner - Clinical Psychologist 2163706078 Reassigns benefits to 1 organization

National Provider Directory

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

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1336591007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14525 HIGHWAY 7 STE 355",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453747",
            "telephone_number": "612-356-2756",
            "fax_number": "612-712-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 HIGHWAY 7 # 355",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453734",
            "telephone_number": "612-356-2746",
            "fax_number": "612-712-9214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3460 Washington Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551224302",
            "country_code": "US",
            "telephone_number": "612-356-2756",
            "fax_number": "612-712-9214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "BRET",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023258662",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.