Pediatric Neuropsychology Services, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PEDIATRIC NEUROPSYCHOLOGY SERVICES, P.C.

Practice address

7200 France Ave S
Suite 128
Edina, MN 55435-4300

Phone

(952) 831-7400

NPI assigned

Dec 27, 2005

Last updated

Sep 11, 2025By 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

Davida Goldman, PH.D., L.P.NPI 1679550172

Title

Owner

Phone

(952) 831-7400

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Davida Z. Goldman, PH.D., L.P.

  • Clinical Psychologist
  • Edina, MN
  • NPI 1679550172

  Clinical Neuropsychologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710964218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 AVONDALE ST",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 FRANCE AVE S",
            "address_2": "SUITE 128",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354300",
            "telephone_number": "952-831-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROPSYCHOLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "DAVIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-831-7400",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "116883",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "337G4PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "61-90675",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley L Pearson, D.D.S.,M.S.
• Scot A. Pearson, D.C.
• Cortney Pederson, MSW LICSW
• Erin Therese Pederson, CNP, FNP-C
• Lane Daniel Pederson, PSYD LP
• Douglas Pelcak, MA
• Katherine Mary Pellant Kaufman, ATC
• Avi Mae Pelly, RDN
• Kyra Marie Peloquin, PT, DPT
• Stephen Peltier, D.C.

• Clinical Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.