PREMIER SPORT PSYCHOLOGY, PLLC
NPI 1104779586
Psychologist in Edina, MN

Active since February 17, 2026
7401 METRO BLVD STE 510, EDINA, MN 55439(952) 835-8513 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Sport Psychology, Pllc NPPES

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

PREMIER SPORT PSYCHOLOGY, PLLC (NPI 1104779586) is a healthcare organization registered as a psychologist in Edina, Minnesota and active in the NPI registry since February 2026. The organization lists Chadric Rasmussen, Director Of Finance & Operations, as its authorized official.

NPPES Registry Identity

NPI1104779586
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePREMIER SPORT PSYCHOLOGY, PLLC
Location Address7401 METRO BLVD STE 510Edina, MN 55439-3033
Mailing Address7401 Metro Blvd Ste 510Edina, MN 55439-3033 · (952) 835-8513
Organization SubpartNo
Authorized OfficialChadric RasmussenDirector Of Finance & Operations · (952) 456-2910
Enumeration DateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1104779586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7401 METRO BLVD STE 510, Edina, MN 55439

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Exercise & Sports)
7401 METRO BLVD STE 510
EDINA, MN 55439
Psychologist (Counseling)
7401 METRO BLVD STE 510
EDINA, MN 55439
Psychologist
7401 METRO BLVD STE 510
EDINA, MN 55439
Psychologist
7401 METRO BLVD STE 510
MINNEAPOLIS, MN 55439
Counselor (Mental Health)
7401 METRO BLVD STE 510
EDINA, MN 55439

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 Premier Sport Psychology, PLLC's NPI number?

The NPI number for Premier Sport Psychology, PLLC is 1104779586. It was assigned to this organization in the NPPES registry on February 17, 2026.

Where is Premier Sport Psychology, PLLC located?

Premier Sport Psychology, PLLC is located at 7401 Metro Blvd Ste 510, Edina, MN 55439. The listed phone number is (952) 835-8513.

What is Premier Sport Psychology, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Premier Sport Psychology, PLLC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.