ANTHONY ODLAND PHD, LP, ABPP
NPI 1669853099
Clinical Neuropsychologist in Plymouth, MN

Active since June 11, 2015PECOS Enrolled
88.97/100
CMS Quality Rating
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 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2022, May 19, 2022, Jul 2, 2019 and 1 more (4 updates tracked since 2018).

About Anthony Odland Phd, Lp, Abpp NPPES

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

ANTHONY ODLAND PHD, LP, ABPP (NPI 1669853099) is an individual clinical neuropsychologist in Plymouth, Minnesota, licensed in Minnesota (LP5884) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669853099
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameANTHONY ODLANDCredential: PHD, LP, ABPP
Location Address15600 36TH AVE N STE 140Plymouth, MN 55446-3372
Mailing Address15600 36th Ave N Ste 140Plymouth, MN 55446-3372 · (763) 308-5772 · Fax (612) 392-7974
Fax(612) 392-7974
Sole ProprietorNo
Enumeration DateJune 11, 2015
Last NPPES UpdateAugust 13, 20224 updates tracked since enumeration
NPPES CertifiedAugust 13, 2022
NPI 1669853099 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 · LP5884
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anthony Odland Phd, Lp, Abpp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.89
Promoting Interoperability94
Improvement Activities40
Cost82.09

Other Providers at the Same Location NPPES 2

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

Clinical Neuropsychologist
15600 36TH AVE N STE 140
PLYMOUTH, MN 55446
Clinical Neuropsychologist
15600 36TH AVE N STE 140
PLYMOUTH, MN 55446

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 Anthony Odland's NPI number?

The NPI number for Anthony Odland is 1669853099. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Anthony Odland located?

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

What is Anthony Odland's specialty?

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

Is Anthony Odland enrolled in Medicare?

Yes. Anthony Odland is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Odland accept?

Health plans from HealthPartners and Sanford Health Plan list Anthony Odland 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 Anthony Odland was last updated on August 13, 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.