DR. THOMAS MICHAEL MISUKANIS (NPI# 1922168244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922168244 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MICHAEL MISUKANIS |
| Credential | PH.D. |
| Practice Address |
7800 Metro Pkwy Suite 300 Bloomington MN 55425-1514 |
| Practice Telephone | 9528760727 |
| Practice Fax Number | 9528519618 |
| Mailing Telephone | 9528760727 |
| Mailing Fax Number | 9528519618 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 1929 | CO | Behavioral Health & Social Service Providers |
| X | 103G00000X | Clinical Neuropsychologist | LP3921 | MN | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1929 | CO | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
LP3921 | MN | Behavioral Health & Social Service Providers |
| Street Address |
7800 METRO PKWY SUITE 300 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872589 | Lisa Sharon Squire | Psychologist | 7800 Metro Pkwy, Ste 300, Bloomington, MN 55425-1509 | 2005-06-24 |
| 1730723669 | Melissa Hartnell | Psychologist | 7800 Metro Pkwy, Bloomington, MN 55425-1514 | 2019-11-04 |
| 1629503206 | River Source Transportation | Non-emergency Medical Transport (VAN) | 7800 Metro Pkwy, #300, Bloomington, MN 55425-1514 | 2017-04-20 |
| 1760921993 | Sunny Home Healthcare L.l.c | Home Health | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2017-02-21 |
| 1811368723 | Budding Lotus Transformations, LLC | Clinic/Center | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2015-10-19 |
| 1841529930 | Lisa S. Squire, Phd, Lp, Pa | Psychologist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2009-12-18 |
| 1033344031 | Carolynne J Moffat | Marriage & Family Therapist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2009-05-19 |
| 1558527440 | Guardian Transportation Inc | Non-emergency Medical Transport (VAN) | 7800 Metro Pkwy, Suite 217, Bloomington, MN 55425-1514 | 2008-07-31 |
| 1144480294 | John Sexton Walters | Acupuncturist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2008-06-12 |
| 1811172901 | Healthpoint Oriental Medicine, LLC | Acupuncturist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2008-01-08 |
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| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
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| 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 |
|---|---|---|---|---|
| 1326308065 | Global Athlete Village | Clinical Neuropsychologist | 3600 W 98th St, Bloomington, MN 55431-2746 | 2012-05-28 |
| 1629548136 | Nicholas John Spangler | Clinical Neuropsychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2018-11-27 |
| 1023500113 | Jessica Bordenave | Clinical Neuropsychologist | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2018-06-04 |
| 1710493770 | Alexander Perry Willett | Clinical Neuropsychologist | 808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075 | 2017-12-28 |
| 1699128074 | Melissa Page Fischer | Clinical Neuropsychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2016-07-20 |
| 1659744043 | Aimee Custer | Clinical Neuropsychologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2015-11-05 |
| 1922375377 | Neuropsychology Center for Attention, Behavior & Learning, LLC | Clinical Neuropsychologist | 103 N Regency Dr, Suite 1s, Bloomington, IL 61701-3503 | 2011-11-29 |
| 1265743165 | Stephen Curtis | Clinical Neuropsychologist | 205 N College Ave, Suite 713, Bloomington, IN 47404-3950 | 2010-06-24 |
| 1679633093 | Minnesota Clinical & Neuropsychological Associates, P.a. | Clinical Neuropsychologist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302228 | Jsr Neuropsychological Services Pllc | Clinical Neuropsychologist | 3209 W 76th St Ste 207, Edina, MN 55435-5246 | 2020-10-09 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1013557057 | Erik De Water | Clinical Neuropsychologist | 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 | 2020-01-07 |
| 1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
| 1285118687 | Chimei M Lee | Clinical Neuropsychologist | 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 | 2018-09-20 |
| 1861990012 | Susan Mcpherson Phd Abpp Lp LLC | Clinical Neuropsychologist | 6550 York Ave S Ste 419, Edina, MN 55435-2335 | 2018-01-23 |
| 1609399153 | Sheryl Jayne Pleiss | Clinical Neuropsychologist | 6640 Shady Oak Rd Ste 375, Eden Prairie, MN 55344-7834 | 2017-07-17 |
| 1598204869 | Adam Piccolino | Clinical Neuropsychologist | 11800 Singletree Ln Ste 203, Eden Prairie, MN 55344-5397 | 2017-02-19 |
| 1770832875 | Allen Stock | Clinical Neuropsychologist | 3320 Walnut Grove Ln N, Plymouth, MN 55447-1026 | 2012-09-05 |
| 1962750026 | Paul Marshall LLC | Clinical Neuropsychologist | 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 | 2012-08-21 |
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| City | BLOOMINGTON |
| Zip Code | 55425 |
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| 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.