Joshua W Meendering, PSYD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP6241 Issued in MN

Practice address

9800 Shelard Pkwy Ste 110
Plymouth, MN 55441

Phone

(763) 577-2489

Fax

(952) 217-4988

NPI assigned

Jul 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CGC LLCGroup PAC ID 4284169723, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CGC LLC

  dba Emerge Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1699239566
  Medicare reassignment Care Compare group NPD
• Everest Psychological Services

  • Psychologist
  • Maple Grove, MN
  • NPI 1922627520

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1497108864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 CENTRAL PARK WAY APT 1221",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693117",
            "telephone_number": "612-283-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY STE 110",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-577-2489",
            "fax_number": "952-217-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11701 Central Park Way Apt 1221",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553693117",
            "country_code": "US",
            "telephone_number": "612-283-6151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2233 Hamline Ave N Ste 500",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551135003",
            "country_code": "US",
            "telephone_number": "612-283-6151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEENDERING",
        "first_name": "JOSHUA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP6241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison McNulty, DPT
• Jennifer McVann, MS, LMFT
• Lora Meadows
• Medexpress Urgent Care Minnesota, P.C. (MedExpress Urgent Care - Plymouth, County Road 24)
• Medicine Lake Manor
• Allyson Mei, PHARMD
• Alyssa Marie Meier
• Mary Meierbachtol, PT
• Amanda Lynn Melendez
• David Burdette Mellberg, PH.D., L.P.

• Counseling Psychologist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.