Neuro PLLC
NPI 1003542069 · Clinical Neuropsychologist · Plymouth, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Neuro PLLC is a Clinical Neuropsychologist organization in Plymouth, MN (NPI 1003542069).
Provider details
- NPI number
- 1003542069
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Odland, Owner/Ceo(320) 491-8233
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2022-08-01
- Certified
- 2022-07-31
Frequently asked questions
- What is Neuro PLLC's NPI number?
- Neuro PLLC's National Provider Identifier (NPI) is 1003542069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neuro PLLC?
- Neuro PLLC is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Neuro PLLC located?
- Neuro PLLC's practice location on file with NPPES is 15600 36th Ave N Ste 140, Plymouth, MN 55446-3372.
- What is Neuro PLLC's phone number?
- The practice phone number listed in the NPPES registry for Neuro PLLC is (763) 308-5772.
- Does Neuro PLLC accept Medicare?
- Neuro PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Neuro PLLC?
- The authorized official listed on Neuro PLLC's NPPES record is Anthony Odland, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neuro PLLC's NPI active?
- Yes — Neuro PLLC's NPI (1003542069) is active in the NPPES registry as of the last update on 2022-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.