STACEY BRANDJORD
NPI 1134098254
Psychologist in Minneapolis, MN

Active since November 05, 2025PECOS Enrolled
2025 E RIVER PKWY, MINNEAPOLIS, MN 55414(612) 365-8400 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Brandjord NPPES

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

STACEY BRANDJORD (NPI 1134098254) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP7018) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134098254
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTACEY BRANDJORD
Location Address2025 E RIVER PKWYMinneapolis, MN 55414-3604
Mailing Address2025 E River PkwyMinneapolis, MN 55414-3604
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
NPI 1134098254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP7018
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.
2025 E RIVER PKWY, Minneapolis, MN 55414

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1355828799
PECOS Enrollment IDI20260116000619
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

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

Clinic/Center
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414
Physician Assistant
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414
Pediatrics
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414
Anesthesiology
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414
Physician Assistant (Surgical)
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414
Psychologist (Clinical)
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414
Clinical Neuropsychologist
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414

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 Stacey Brandjord's NPI number?

The NPI number for Stacey Brandjord is 1134098254. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Stacey Brandjord located?

Stacey Brandjord practices at 2025 E River Pkwy, Minneapolis, MN 55414. The listed phone number is (612) 365-8400.

What is Stacey Brandjord's specialty?

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

Is Stacey Brandjord enrolled in Medicare?

Yes. Stacey Brandjord is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Brandjord was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.