DR. JILL C ISENBERG PH.D., LP
NPI 1760670053
Clinical Neuropsychologist in Duluth, MN

Q: What is Jill Isenberg's NPI number?

The NPI number for Jill Isenberg is 1760670053. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Q: What is Jill Isenberg'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 Jill Isenberg was last updated on July 21, 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.

Active since October 11, 2007PECOS Enrolled

1502 LONDON RD STE 102, DULUTH, MN 55812(218) 576-0187(218) 576-0126 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 26, 2017 (2 updates tracked since 2017).

On this page

About Dr. Jill C Isenberg Ph.d., Lp NPPES

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

DR. JILL C ISENBERG PH.D., LP (NPI 1760670053) is an individual clinical neuropsychologist in Duluth, Minnesota, licensed in Minnesota (LP5905) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760670053

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. JILL C ISENBERGCredential: PH.D., LP

Location Address1502 LONDON RD STE 102Duluth, MN 55812-1787

Mailing Address1 Childrens Pl, Suite 3s32Saint Louis, MO 63110-1002 · (314) 454-6069 · Fax (314) 454-4013

Phone(218) 576-0187

Fax(218) 576-0126

Sole ProprietorNo

Enumeration DateOctober 11, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1760670053 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 · LP5905

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.

1502 LONDON RD STE 102, Duluth, MN 55812

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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)

Dr. Jill C Isenberg Ph.d., Lp 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.

Other Providers at the Same Location NPPES 13

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

MICHELLE L HOLMES RN, CNP

Nurse Practitioner (Family)

1502 LONDON RD STE 102, ESSENTIA HEALTH LAKEWALK CLINIC
DULUTH, MN 55812

St. Louis County (218) 576-0100

MRS. AMY MARIE WESTRICK APRN, CNP

Nurse Practitioner (Family)