Midwestern Neuropsychology PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

MIDWESTERN NEUROPSYCHOLOGY PLLC

Practice address

6600 France Ave S
Suite 670
Minneapolis, MN 55435-1805

Phone

(952) 928-9003

Fax

(952) 928-2000

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jed Fuhrman, PHDNPI 1114135241

Title

Owner

Phone

(952) 928-9003

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Michael Jed Fuhrman, PHD

  • Clinical Neuropsychologist
  • Minneapolis, MN
  • NPI 1114135241
  Medicare reassignment NPD Authorized official
• Daniel Goldman, PH.D.

  • Clinical Neuropsychologist
  • Edina, MN
  • NPI 1982002820
  NPD (past)
• Kirsten Mohn, PHD

  • Clinical Neuropsychologist
  • Edina, MN
  • NPI 1285025122
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1871701912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 670",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "952-928-9003",
            "fax_number": "952-928-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 670",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "952-928-9003",
            "fax_number": "952-928-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "FUHRMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-928-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "218L1MI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302253600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CO3442",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Rehabilitation Services Inc
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• Midwest Translating Inc
• Shay Mieczkowski, DDS
• Michael Dean Miedema, MD
• Chelsea Anjelica Mielke, PA-C
• Claire O Mielke, D.D.S.
• John W Mielke, M.D.

• Clinical Neuropsychologist in Minneapolis, MN
• Providers in Minneapolis, 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 31, 2015; 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.