ROBERT C DOSS (PSYD LP) – Clinical Neuropsychologist, NPI 1669480521

ROBERT C DOSS (PSYD LP) is a healthcare provider. based in Roseville, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD LP. They hold a License No. LP4254 (MN). The NPI Number for ROBERT C DOSS (PSYD LP) is 1669480521

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT C DOSS (PSYD LP)
NPI
1669480521
Phone
(651) 241-5290
Address
2720 FAIRVIEW AVE N STE 100
Enumeration Date
4 August 2006
Last Update Date
19 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512415290
Graduation Year
1999 (27 years ago)
PAC ID
4688700669
Group Practice PAC ID
6709771363
Professional Enrollment ID
I20100329001066
Address ID
MN551131306RO2720XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for ROBERT C DOSS (PSYD LP)

  • 2720 FAIRVIEW AVE N STE 100

    ROSEVILLE, MN 551131306

    Phone: (651) 241-5290

    Fax: (651) 241-5140

    Type: Mailing

  • Smith Avenue North, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States

    SUITE 201

    SAINT PAUL, MN 551022697

    Phone: (651) 241-5290

    Fax: (651) 241-5140

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100329001066IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55113)

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Provider's Procedures

ROBERT C DOSS (PSYD LP) performs procedures in CLINICAL PSYCHOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALMN96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour5416

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709771363View full group profile
NameSpecialtyState
N E U R O L O G YMN
Clinical PsychologistMN
Physician AssistantMN
-MN
Physician AssistantMN
Clinical PsychologistMN
Nurse PractitionerMN
N E U R O L O G YMN
Physician AssistantMN
N E U R O L O G YMN

Reviews

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Frequently asked questions

Is there an official ID for ROBERT C DOSS (PSYD LP) in U.S. healthcare records?
The official identifier for ROBERT C DOSS (PSYD LP) is NPI 1669480521.
Is there an active status for ROBERT C DOSS (PSYD LP)?
For scheduling context, ROBERT C DOSS (PSYD LP) is shown as active in the registry.
What clinical focus is listed for ROBERT C DOSS (PSYD LP)?
At a glance, ROBERT C DOSS (PSYD LP) is tied to Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with ROBERT C DOSS (PSYD LP)?
Directory geography for ROBERT C DOSS (PSYD LP) centers on Roseville, Minnesota.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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