Active NPI
Clearstep Neuropsychology PLLC
- Clinical Neuropsychologist
- Wayzata, MN
National Provider Identifier
1407770597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.