Provider Type Icon

PEDIATRIC NEUROPSYCHOLOGY SERVICES P.C. NPI 1710964218


NPI Information

NPI: 1710964218
Provider Name: PEDIATRIC NEUROPSYCHOLOGY SERVICES, P.C.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
7200 FRANCE AVE S
SUITE 128
EDINA, MN
ZIP 55435
Phone: (952) 831-7400
Get Directions

PEDIATRIC NEUROPSYCHOLOGY SERVICES, P.C. is a clinical neuropsychologist in Edina, MN. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. PEDIATRIC NEUROPSYCHOLOGY SERVICES, P.C. NPI is 1710964218. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7200 FRANCE AVE S
SUITE 128
EDINA, MN
ZIP 55435-300
Phone: (952) 831-7400

The provider's authorized official is Davida Goldman .
The authorized official title is Owner and has the following contact phone number (952) 831-7400.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistYes
2103T00000XPsychologistX
3103TC0700XPsychologistClinicalX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
161-90675OTHERMINNESOTAMEDICA
2116883OTHERMINNESOTAHEALTHPARTNERS
3337G4PEOTHERMINNESOTABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.