Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NICHOLAS CHARLES NEIBERGALL PHD, LP
NPI 1669281283
Clinical Neuropsychologist in Anoka, MN

Q: What is Nicholas Neibergall's NPI number?

The NPI number for Nicholas Neibergall is 1669281283. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Q: What is Nicholas Neibergall's specialty?

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

Active since January 07, 2025

3301 7TH AVE, ANOKA, MN 55303(515) 473-2887 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Jan 7, 2025 (2 updates tracked since 2025).

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About Dr. Nicholas Charles Neibergall Phd, Lp NPPES

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

DR. NICHOLAS CHARLES NEIBERGALL PHD, LP (NPI 1669281283) is an individual clinical neuropsychologist in Anoka, Minnesota, licensed in Minnesota (LP6970) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1669281283

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. NICHOLAS CHARLES NEIBERGALLCredential: PHD, LP

Location Address3301 7TH AVEAnoka, MN 55303-4516

Mailing Address3200 Labore RdVadnais Heights, MN 55110-5186 · (651) 274-0891

Phone(515) 473-2887

Sole ProprietorNo

Enumeration DateJanuary 7, 2025

Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration

NPPES CertifiedOctober 26, 2026

✔ NPI 1669281283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MN · LP6970

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.

3301 7TH AVE, Anoka, MN 55303

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Other Providers at the Same Location NPPES 20

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

KAITLIN BURKE LICSW

Social Worker (Clinical)

3301 7TH AVE
ANOKA, MN 55303

Anoka County (763) 639-7474

HARON NYAKUNDI MANWA APRN, CNP

Nurse Practitioner (Psychiatric/Mental Health)

3301 7TH AVE
ANOKA, MN 55303

Anoka County (651) 431-5000

ERIN AUSMAN PH.D., LP

Psychologist (Clinical)

3301 7TH AVE
ANOKA, MN 55303

Anoka County (651) 431-5113

LAURA MARIE SCHULLER APRN, FNP

Nurse Practitioner (Family)

3301 7TH AVE
ANOKA, MN 55303

Anoka County (651) 431-5000

DR. THOMAS ARNO WITTKOPP M.D.

Psychiatry & Neurology (Psychiatry)

3301 7TH AVE
ANOKA, MN 55303

Anoka County (651) 431-5000

DR. GRETA N. MINOR PHD, LP

Clinical Neuropsychologist

3301 7TH AVE
ANOKA, MN 55303

Anoka County (651) 431-5000

DR. BROOKE MARIE BEEHLER D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3301 7TH AVE
ANOKA, MN 55303

Anoka County (651) 431-5006

HELLEN J BOIT APRN, DNP

Nurse Practitioner (Family)

3301 7TH AVE
ANOKA, MN 55303

Anoka County (651) 431-5000

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 Nicholas Neibergall's NPI number?

The NPI number for Nicholas Neibergall is 1669281283. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Nicholas Neibergall located?

Nicholas Neibergall practices at 3301 7th Ave, Anoka, MN 55303. The listed phone number is (515) 473-2887.

What is Nicholas Neibergall'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 Nicholas Neibergall was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.