Minnesota Clinical & Neuropsychological Associates, P.a.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

MINNESOTA CLINICAL & NEUROPSYCHOLOGICAL ASSOCIATES, P.A.

Practice address

7800 Metro Pkwy
Suite 300
Bloomington, MN 55425-1514

Phone

(952) 876-0727

Fax

(952) 851-9618

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Michael Misukanis, PH.D.NPI 1922168244

Title

Owner

Phone

(952) 876-0727

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Michael Misukanis Sr., PH.D.

  • Clinical Neuropsychologist
  • Bloomington, MN
  • NPI 1922168244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1679633093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY",
            "address_2": "SUITE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251514",
            "telephone_number": "952-876-0727",
            "fax_number": "952-851-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY",
            "address_2": "SUITE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251514",
            "telephone_number": "952-876-0727",
            "fax_number": "952-851-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA CLINICAL & NEUROPSYCHOLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "MISUKANIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-876-0727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460980800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Minette
• Susan E Minette, D.O.
• Kathryn Marie Minkkinen
• Minncare Transportaion
• Minnesota Children's Autism Center
• Minnesota Counseling and Therapy Center
• Minnesota Counseling and Therapy Center, Inc (Sankalpa Therapy and Wellness Center)
• Minnesota Dental Surgery PLLC
• Minnesota Eye Consultants, PA (Eye Care Network)
• Minnesota Eye Consultants, PA

• Clinical Neuropsychologist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.