Active NPI
Liza N Meredith, PHD
- Psychologist
- Minneapolis, MN
National Provider Identifier
1407496516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6233
- Practice address
- 621 W Lake St Ste 350
Minneapolis, MN 55408-2952 - Phone
- (507) 403-8425
- Fax
- (651) 925-0427
- NPI assigned
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6233 | MN | Primary |
Addresses
Primary practice location
621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Mailing address
5041 14TH Ave S
Minneapolis, MN 55417-1124
Phone (608) 658-9037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1407496516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5041 14TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171124",
"telephone_number": "608-658-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W LAKE ST STE 350",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082952",
"telephone_number": "507-403-8425",
"fax_number": "651-925-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "LIZA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-07",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "6233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.