Active NPI
Jonathan Preszler
- Psychologist
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP7072
- Practice address
- 8100 Northland Dr
Bloomington, MN 55431-4800 - Phone
- (952) 831-8742
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60674058 | WA | |
| Clinical Neuropsychologist | 103G00000X | 617 | ND | |
| Psychologist | 103T00000X | LP7072 | MN | Primary |
Addresses
Primary practice location
8100 Northland Dr
Bloomington, MN 55431-4800
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
4535 Northern Sky Dr
Bismarck, ND 58503-8538
Phone (701) 323-8700
Other practice location 2
629 6th Street
Educational and Psychological Services
Clarkston, WA 99403
Phone (509) 758-9698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
4535 Northern Sky Dr
Bismarck, ND 58503-8534
Phone (701) 323-8700
Hospital & facility affiliations
- Sanford Medical Center Bismarck
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60674058 | WA | MD | Mental Health Counselor |
| LP7072 | MN | MD | Psychologist |
| 617 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tria Orthopaedic Center LLC | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Fitzgerald Psychological Services, P.S. | Psychologist | Past | Accepting new patients |
| Educational and Psychological Services | Past | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1811941172
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
-
- Case Management Agency
- Clarkston, WA
- NPI 1891064606
-
- Psychologist
- Clarkston, WA
- NPI 1710322755
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1679921340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 NORTHLAND DR",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314800",
"telephone_number": "952-831-8742"
}
],
"practiceLocations": [
{
"address_1": "4535 Northern Sky Dr",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585038538",
"country_code": "US",
"telephone_number": "701-323-8700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "629 6th Street",
"address_2": "Educational and Psychological Services",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "WA",
"postal_code": "99403",
"country_code": "US",
"telephone_number": "509-758-9698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESZLER",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60674058",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "ND",
"license": "617",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP7072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.