Individual provider Active NPI

Sheryl Jayne Pleiss, PH.D., LP

  • Clinical Neuropsychologist
  • Eden Prairie, MN
National Provider Identifier
1609399153
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
LP6120 Issued in MN
Practice address
6640 Shady Oak Rd Ste 375
Eden Prairie, MN 55344-7834
Phone
(207) 522-5497
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 LP6120 MN Primary

Addresses

Primary practice location

6640 Shady Oak Rd Ste 375
Eden Prairie, MN 55344-7834

Mailing address

1419 Bethesda Cir
Chanhassen, MN 55317-4749

Other practice location 1

7373 France Ave S Ste 302
Edina, MN 55435-4538
Phone (952) 595-5652

Other names 1

  • Dr. Sheryl Jayne Stevens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP6120MNMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldfinch Neurobehavioral Services, LLC Clinical Neuropsychologist CurrentSince Sep 27, 2020 Accepting new patients

Locations

6640 Shady Oak Rd
Ste 375
Eden Prairie, MN 55344
Phone (207) 522-5497

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1609399153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 BETHESDA CIR",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 SHADY OAK RD STE 375",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447834",
            "telephone_number": "207-522-5497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 France Ave S Ste 302",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354538",
            "country_code": "US",
            "telephone_number": "952-595-5652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLEISS",
        "first_name": "SHERYL",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP6120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "STEVENS",
            "middle_name": "JAYNE",
            "prefix": "DR.",
            "credential": "PHD, LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.