Dr Naomi Nystrom, PSYD, LP is a
Clinical Neuropsychologist based in Anoka, Minnesota. Dr Naomi Nystrom is licensed to practice in Minnesota (license number LP6316) and her current practice location is
Psychology - Building A, 3301 7th Ave. N., Anoka, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 242-8330.
NPI number for Dr Naomi Nystrom is 1154942258 and her current mailing address is Psychology - Building A, 3301 7th Ave. N., Anoka, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154942258.
Healthcare Provider's Profile
| Full Name | Dr Naomi Nystrom |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | Psychology - Building A, Anoka, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154942258
- Provider Enumeration Date: 04/29/2020
- Last Update Date: 09/06/2022
Medical Identifiers
Medical identifiers for Dr Naomi Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154942258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | LP6316 (Minnesota) | Secondary |
| 103G00000X | Clinical Neuropsychologist | LP6316 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Naomi Nystrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Naomi Nystrom, PSYD, LP
Psychology - Building A, 3301 7th Ave. N.,
Anoka, MN 55303
Ph: (651) 242-8330 | Dr Naomi Nystrom, PSYD, LP
Psychology - Building A, 3301 7th Ave. N.,
Anoka, MN 55303
Ph: (651) 242-8330 |
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