NEURO PLLC
NPI 1003542069
Clinical Neuropsychologist in Plymouth, MN

Q: What is Neuro PLLC's NPI number?

The NPI number for Neuro PLLC is 1003542069. It was assigned to this organization in the NPPES registry on August 1, 2022.

Q: What is Neuro PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Neuro PLLC was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 01, 2022

15600 36TH AVE N STE 140, PLYMOUTH, MN 55446(763) 308-5772(612) 392-7974 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Neuro Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURO PLLC (NPI 1003542069) is a healthcare organization registered as a clinical neuropsychologist in Plymouth, Minnesota and active in the NPI registry since August 2022. The organization lists Anthony Odland, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1003542069

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameNEURO PLLC

Location Address15600 36TH AVE N STE 140Plymouth, MN 55446-3372

Mailing Address15600 36th Ave N Ste 140Plymouth, MN 55446-3372 · (320) 491-8233 · Fax (612) 392-7974

Phone(763) 308-5772

Fax(612) 392-7974

Organization SubpartNo

Authorized OfficialAnthony OdlandOwner/ceo · (320) 491-8233

Enumeration DateAugust 1, 2022

NPPES CertifiedJuly 31, 2022

✔ NPI 1003542069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

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.

15600 36TH AVE N STE 140, Plymouth, MN 55446

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neuro Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Neuro PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Anthony Odland, PHD, LP, ABPP

Clinical Psychologist

NPI 1669853099

15600 36TH AVE N STE 140
Plymouth, MN 55446

(763) 308-5772

✔ PECOSSame address

Hannah Weiss, PHD

Clinical Psychologist

NPI 1295624559

15600 36TH AVE N STE 140
Plymouth, MN 55446

(763) 308-5255

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neuro PLLC's NPI number?

The NPI number for Neuro PLLC is 1003542069. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Neuro PLLC located?

Neuro PLLC is located at 15600 36th Ave N Ste 140, Plymouth, MN 55446. The listed phone number is (763) 308-5772.

What is Neuro PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Neuro PLLC enrolled in Medicare?

Yes. Neuro PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neuro PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Neuro PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Neuro PLLC accept?

Health plans from HealthPartners and Sanford Health Plan list Neuro PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Neuro PLLC was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.