ST. CLOUD NEUROBEHAVIORAL ASSOCIATES PA – Cognitive & Behavioral Psychologist, NPI 1871555441
Cognitive & Behavioral Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ST. CLOUD NEUROBEHAVIORAL ASSOCIATES PA
3812 8TH ST N STE 200
SAINT CLOUD, MN 563031413
Phone: (320) 258-3833
Fax: (320) 253-5741
Type: Mailing
123, Woodhill Road, Saint Cloud, Stearns County, Minnesota, 56301, United States
SUITE B
ST CLOUD, MN 56303
Phone: (320) 258-3833
Fax: (320) 253-5741
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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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: 2004-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (649 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040122001097 | O | Clinic/Group Practice | MN | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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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 56303)
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