JSR Neuropsychological Services PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

JSR NEUROPSYCHOLOGICAL SERVICES PLLC

Practice address

3209 W 76TH St Ste 207
Edina, MN 55435-5246

Phone

(517) 614-3697

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jordan S Robinson, PHDNPI 1437576840

Title

Clinical Neuropsychologist

Phone

(517) 614-3697

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Jordan Robinson, PH.D.

  • Clinical Neuropsychologist
  • Edina, MN
  • NPI 1437576840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1992302228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 WOODCREST CIR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231363",
            "telephone_number": "517-614-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W 76TH ST STE 207",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355246",
            "telephone_number": "517-614-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSR NEUROPSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "517-614-3697",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Janice Carlson Joshua, PSYD LP
• Zoe K Josten, CRNA
• Claire R Joubert, PA-C
• Journey Pediatric Therapy LLC
• Jeffrey T Joynson, CRNA
• Juliann Miller, Ma, LP
• Laurel Hedden Jung, M.A.
• Lisa M Juran, PHARM D
• Adrian Thomas Jurek, M.D.
• Caitlin R Jurgens, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.