Organization Active NPI

Clearstep Neuropsychology PLLC

  • Clinical Neuropsychologist
  • Wayzata, MN
National Provider Identifier
1407770597
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
CLEARSTEP NEUROPSYCHOLOGY PLLC
Practice address
1903 Wayzata Blvd Ste 140
Wayzata, MN 55391-2047
Phone
(612) 209-0321
NPI assigned
Aug 10, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Dr. Christine Mathiowetz, PSYD, LP
Title
Pediatric Neuropsychologist
Phone
(612) 209-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

1903 Wayzata Blvd Ste 140
Wayzata, MN 55391-2047

Mailing address

4722 Fairhills Rd W
Minnetonka, MN 55345-3509

National Provider Directory

National Provider Directory

Locations

1903 Wayzata Blvd
Ste 140
Wayzata, MN 55391

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1407770597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 FAIRHILLS RD W",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 WAYZATA BLVD STE 140",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912047",
            "telephone_number": "612-209-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSTEP NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "MATHIOWETZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PEDIATRIC NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "612-209-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.