MIDWESTERN NEUROPSYCHOLOGY PLLC (NPI# 1871701912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871701912 |
| Entity Type | Organization |
| Organization Name | MIDWESTERN NEUROPSYCHOLOGY PLLC |
| Practice Address |
6600 France Ave S Suite 670 Minneapolis MN 55435-1805 |
| Practice Telephone | 9529289003 |
| Practice Fax Number | 9529282000 |
| Mailing Telephone | 9529289003 |
| Mailing Fax Number | 9529282000 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | DR. MICHAEL JED FUHRMAN (OWNER) |
| Authorized Official Telephone | 9529289003 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE | CO3442 | 01 |
| MN | BCBS GROUP NUMBER | 218L1MI | 01 |
| MN | 302253600 | 05 |
| Street Address |
6600 FRANCE AVE S SUITE 670 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55435-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114135241 | Michael Jed Fuhrman | Clinical Neuropsychologist | 6600 France Ave S, Suite 145, Minneapolis, MN 55435-1805 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118687 | Chimei M Lee | Clinical Neuropsychologist | 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 | 2018-09-20 |
| 1962750026 | Paul Marshall LLC | Clinical Neuropsychologist | 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 | 2012-08-21 |
| 1780977934 | Samantha Glass | Clinical Neuropsychologist | 701 Park Ave # G8, Minneapolis, MN 55415-1623 | 2011-05-20 |
| 1467660084 | Robin Lee Wetzel | Clinical Neuropsychologist | 1625 Park Ave, Minneapolis, MN 55404-1634 | 2007-05-18 |
| 1912022336 | Learning and Language Specialists, Inc. | Clinical Neuropsychologist | 1405 Lilac Dr N Ste 200, Minneapolis, MN 55422-4546 | 2007-03-21 |
| 1619050028 | Robin Rumsey | Clinical Neuropsychologist | 717 Delaware St Se Ste 240, Minneapolis, MN 55414-2959 | 2006-10-23 |
| 1497837041 | William Thomas O'dowd | Clinical Neuropsychologist | 2720 W 43rd St, Suite 205, Minneapolis, MN 55410-1643 | 2006-10-20 |
| 1568418812 | Christopher James Boys | Clinical Neuropsychologist | 200 Oak St Se, 160 Mcnamara Mcnamara, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-05-26 |
| 1649819665 | Amanda Wenzel Kalstabakken | Clinical Neuropsychologist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2019-12-23 |
| 1104476589 | Leslie N Perez | Clinical Neuropsychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-09-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55435 |
Please comment or provide details below to improve the information on MIDWESTERN NEUROPSYCHOLOGY PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.