Minnesota Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

MINNESOTA NEUROPSYCHOLOGY, LLC

Practice address

370 Selby Ave Ste 312
Saint Paul, MN 55102-1884

Phone

(651) 964-2020

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Adams, PHD

Title

Neuropsychologist/Owner

Phone

(651) 964-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1609333038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SELBY AVE STE 312",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021884",
            "telephone_number": "651-964-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SELBY AVE STE 312",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021884",
            "telephone_number": "651-964-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "651-964-2020",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.