Individual provider Active NPI

Amy R. Steiner, PSY.D., ABPP

  • Clinical Neuropsychologist
  • Minneapolis, MN
National Provider Identifier
1568606077
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
5130 Issued in MN
Practice address
2828 Chicago Ave Ste 200
Minneapolis, MN 55407
Phone
(612) 879-1000
Fax
(612) 879-0722
NPI assigned
Apr 28, 2009
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 5130 MN Primary

Addresses

Primary practice location

2828 Chicago Ave Ste 200
Minneapolis, MN 55407

Mailing address

2828 Chicago Ave Ste 200
Minneapolis, MN 55407-4187
Phone (612) 879-1000

Other practice location 1

295 Phalen Blvd
Mailstop 41203C
Saint Paul, MN 55130-2400
Phone (651) 495-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 1, 2024 through Nov 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5130MNMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Diagnostics LLC Il PastSince Sep 18, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1568606077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CHICAGO AVE STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074187",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CHICAGO AVE STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-0722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Phalen Blvd",
            "address_2": "Mailstop 41203C",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551302400",
            "country_code": "US",
            "telephone_number": "651-495-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINER",
        "first_name": "AMY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.