DR. BRAD RYAN NEDEROSTEK (NPI# 1407129786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407129786 |
| Entity Type | Individual |
| Full Name | DR. BRAD RYAN NEDEROSTEK |
| Credential | PSY.D. |
| Practice Address |
1300 S 2nd St Suite 180 Minneapolis MN 55454-1075 |
| Mailing Address |
4301 Park Glen Rd Apartment 132 Saint Louis Park MN 55416-4783 |
| Practice Telephone | 6126251500 |
| Mailing Telephone | 6105331911 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers |
| Street Address |
1300 S 2ND ST SUITE 180 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245349257 | Russell Vincent Luepker | General Acute Care Hospital | 1300 S 2nd St, Suite 300, Minneapolis, MN 55454-1075 | 2006-08-30 |
| 1083065080 | Rachel Becker-warner | Psychologist | 1300 S 2nd St, Minneapolis, MN 55454-1075 | 2016-06-30 |
| 1437583481 | Brenna M Wernersbach | Counselor | 1300 S 2nd St, Suite 180, Minneapolis, MN 55454-1075 | 2013-08-27 |
| 1124452404 | Rebecca Stinson | Psychologist | 1300 S 2nd St, Suite 180, Minneapolis, MN 55454-1075 | 2013-08-22 |
| 1073845079 | Katherine G Spencer | Psychologist | 1300 S 2nd St, Suite 180, Minneapolis, MN 55454-1075 | 2010-02-02 |
| 1730265844 | Rosemary Ann Munns | Psychologist | 1300 S 2nd St, Ste 180, Minneapolis, MN 55454-1075 | 2006-10-31 |
| 1598840688 | Sara Jane S Mize | Psychologist | 1300 S 2nd St, Suite 180, Minneapolis, MN 55454-1075 | 2006-10-26 |
| 1487739827 | Michael H Miner | Psychologist | 1300 S 2nd St, Suite 180, Minneapolis, MN 55454-1075 | 2006-10-26 |
| 1104901172 | Walter O Bockting | Psychologist | 1300 S 2nd St, Suite 180, Minneapolis, MN 55454-1075 | 2006-10-26 |
| 1902980782 | Joan M Patterson | Psychologist | 1300 S 2nd St, Suite 300, Minneapolis, MN 55454-1075 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452727 | Kate Finn | Psychologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-21 |
| 1790176055 | Sarah Anne Gillis Eckhardt | Psychologist | 910 E 26th St, Suite 410, Minneapolis, MN 55404-4526 | 2015-02-09 |
| 1770728230 | Mn Integrative Psychology and Psychiatry, Inc. | Psychologist | 1409 Willow St, Suite 400, Minneapolis, MN 55403-2269 | 2008-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194417 | Vayda Mental Health Collaborative Pllc | Psychologist | 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-5869 | 2020-08-16 |
| 1689120123 | Shoshana Center for Reproductive Health Psychology, Pllc | Psychologist | 475 Cleveland Ave N, Suite 200, Saint Paul, MN 55104-5031 | 2016-08-25 |
| City | MINNEAPOLIS |
| Zip Code | 55454 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.