DR. NAOMI NYSTROM PSYD, LP
NPI 1154942258
Clinical Neuropsychologist in Anoka, MN

Q: What is Naomi Nystrom's NPI number?

The NPI number for Naomi Nystrom is 1154942258. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Q: What is Naomi Nystrom'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 Naomi Nystrom was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 29, 2020

PSYCHOLOGY - BUILDING A, 3301 7TH AVE. N., ANOKA, MN 55303(651) 242-8330 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Naomi Nystrom Psyd, Lp NPPES

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

DR. NAOMI NYSTROM PSYD, LP (NPI 1154942258) is an individual clinical neuropsychologist in Anoka, Minnesota, licensed in Minnesota (LP6316) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1154942258

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. NAOMI NYSTROMCredential: PSYD, LP

Location AddressPSYCHOLOGY - BUILDING A, 3301 7TH AVE. N.Anoka, MN 55303

Mailing AddressPsychology - Building A, 3301 7th Ave. N.Anoka, MN 55303 · (651) 242-8330

Phone(651) 242-8330

Sole ProprietorYes

Enumeration DateApril 29, 2020

Last NPPES UpdateSeptember 6, 2022

NPPES CertifiedOctober 27, 2020

✔ NPI 1154942258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MN · LP6316

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP6316 (MN)

PSYCHOLOGY - BUILDING A, Anoka, MN 55303

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Naomi Nystrom's NPI number?

The NPI number for Naomi Nystrom is 1154942258. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Naomi Nystrom located?

Naomi Nystrom practices at Psychology - Building A 3301 7th Ave. N., Anoka, MN 55303. The listed phone number is (651) 242-8330.

What is Naomi Nystrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Naomi Nystrom was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.