Active NPI
Sheryl Jayne Pleiss, PH.D., LP
- Clinical Neuropsychologist
- Eden Prairie, MN
National Provider Identifier
1609399153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- LP6120
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP6120 | MN | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldfinch Neurobehavioral Services, LLC | Clinical Neuropsychologist | Current | 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.
-
- Clinical Neuropsychologist
- Eden Prairie, MN
- NPI 1083220602
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.